Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | D2464 | TX |
Y | 207Q00000X | Family Doctor | D2464 | TX |
N | 207QG0300X | Family Doctor - Geriatric Medicine | D2464 | TX |
NPI | 1073524971 |
---|---|
Provider Name | James J Hrachovy |
First Address | Columbus, TX 78934-3011 |
Second Address | Columbus, TX 78934-3011 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2006 |
Last Update Date | 08/01/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B23609 | (02) | TX |