Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2082S0105X | Plastic Hand Surgeon | H0312 | TX |
NPI | 1699717587 |
---|---|
Provider Name | Dr. Stephen C Drukker |
First Address | San Antonio, TX 78216-6991 |
Second Address | San Antonio, TX 78229-6028 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2006 |
Last Update Date | 24/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
041242102 | (05) | TX |
200042347 | RAILROAD MEDICARE (01) | TX |
4468565 | AETNA (01) | TX |
8439186 | CIGNA (01) | TX |
8B8393 | BCBS (01) | TX |