Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207N00000X | Dermatologist | J0169 | TX |
N | 207NP0225X | Pediatric Dermatologist | J0169 | TX |
N | 207NS0135X | Procedural Dermatology | J0169 | TX |
NPI | 1043288277 |
---|---|
Provider Name | Dr. Robert Lee Ochs |
First Address | San Antonio, TX 78216-7732 |
Second Address | San Antonio, TX 78216-7732 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G25920 | (02) |