Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | C4346 | TX |
NPI | 1033141874 |
---|---|
Provider Name | Dr. John Y Harper JR. |
First Address | San Antonio, TX 78212-0487 |
Second Address | San Antonio, TX 78212-4701 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2006 |
Last Update Date | 06/10/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
097175602 | (05) | TX |
181900044 | RAIL ROAD MC (01) | |
97175602 | (05) | TX |
C16621 | (02) |