Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | N6406 | TX |
NPI | 1013110105 |
---|---|
Provider Name | Scott Taylor Kane |
First Address | San Antonio, TX 78265-4717 |
Second Address | San Antonio, TX 78229-5640 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2007 |
Last Update Date | 03/11/2010 |