Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225000000X | Orthotic Fitter |
NPI | 1407923964 |
---|---|
Provider Name | Mr. Ronald James Kramer |
First Address | Arlington, TX 76003-2945 |
Second Address | Alvarado, TX 76009-5170 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/11/2006 |
Last Update Date | 08/07/2007 |