Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | M3454 | TX |
NPI | 1053365023 |
---|---|
Provider Name | Julio Cesar Araujo |
First Address | San Antonio, TX 78232-2679 |
Second Address | Live Oak, TX 78233-3146 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2006 |
Last Update Date | 04/02/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00414U | GROUP MEDICARE LEGACY ID (01) | |
H94754 | (02) |