Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | N1339 | TX |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | N1339 | TX |
Y | 207XS0106X | Orthopaedic Hand Surgeon | N1339 | TX |
N | 2086S0105X | Surgery of the Hand | N1339 | TX |
NPI | 1881802601 |
---|---|
Provider Name | Hilton Phillip Gottschalk |
First Address | Austin, TX 78723-3077 |
Second Address | Austin, TX 78723-3077 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2007 |
Last Update Date | 18/09/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8DE510 | BCBS INDIVIDUAL # (01) | TX |