Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | H6876 | TX |
Y | 208200000X | Surgeon | H6876 | TX |
Y | 208600000X | Surgeon | H6876 | TX |
NPI | 1730111345 |
---|---|
Provider Name | Richard J Knight |
First Address | Houston, TX 77030-2717 |
Second Address | Houston, TX 77030-2717 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2006 |
Last Update Date | 17/01/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
104992605 | (05) | TX |
8AC474 | BCBS (01) | TX |
8DY944 | BCBS (01) | TX |