Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0106X | Oral and Maxillofacial Pathology | 20479 | TX |
NPI | 1952429888 |
---|---|
Provider Name | Dr. William C Cain |
First Address | Austin, TX 78705-1121 |
Second Address | Georgetown, TX 78628-2420 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2007 |
Last Update Date | 07/03/2011 |