Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0106X | Oral and Maxillofacial Pathology | 21578 | TX |
NPI | 1336122886 |
---|---|
Provider Name | Dr. Raymond W Kaercher |
First Address | Helotes, TX 78023-4385 |
Second Address | Helotes, TX 78023-4385 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/11/2005 |
Last Update Date | 08/07/2007 |