Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 1319 | TX |
NPI | 1003886789 |
---|---|
Provider Name | Michael Lee Dempsey |
First Address | San Antonio, TX 78224-1337 |
Second Address | San Antonio, TX 78224-1361 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2006 |
Last Update Date | 17/10/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
096452005 | (05) | TX |
096452007 | (05) | TX |
8H9989 | BCBS (01) | TX |
P01211714 | RAILROAD MEDICARE (01) | TX |
U62037 | (02) | TX |