Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213EP1101X | Primary Podiatric Medicine | 1467 | TX |
Y | 213ES0131X | Foot Surgery | 1467 | TX |
NPI | 1518950294 |
---|---|
Provider Name | Dr. Rosemay Michel |
First Address | San Antonio, TX 78238-1336 |
Second Address | Fayetteville, NC 28304-6162 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/08/2005 |
Last Update Date | 23/08/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U76019 | (02) | TX |