Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RX0202X | Medical Oncology | 12260 | MS |
Y | 207RX0202X | Medical Oncology | 12823 | TN |
N | 207RX0202X | Medical Oncology | R3993 | AR |
NPI | 1053340802 |
---|---|
Provider Name | Kurt W Tauer |
First Address | Germantown, TN 38138-3941 |
Second Address | Germantown, TN 38138-1762 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2006 |
Last Update Date | 01/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00112465 | (05) | MS |
112757001 | (05) | AR |
1785652 | (05) | LA |
2002901 | BCBS TN (01) | TN |
202995205 | (05) | MO |
3191808 | (05) | TN |
4031625 | AETNA (01) | |
87845 | AR BCBS (01) | AR |
B04485 | (02) |