Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | G3516 | TX |
N | 207VX0000X | Obstetrician | G3516 | TX |
NPI | 1174603500 |
---|---|
Provider Name | Raymond S Khouw |
First Address | Dallas, TX 75237 |
Second Address | Dallas, TX 75237 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2006 |
Last Update Date | 12/03/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
032738901 | (05) | TX |
C17855 | (02) |