Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 1208207 | TX |
Y | 225CA2400X | Assistive Technology Practitioner | 92775 | TX |
NPI | 1518245455 |
---|---|
Provider Name | Michael Czar |
First Address | Humble, TX 77338-5229 |
Second Address | Humble, TX 77338-5229 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2011 |
Last Update Date | 19/10/2020 |