Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | J3090 | TX |
NPI | 1043300726 |
---|---|
Provider Name | Sue Gail Eckhardt |
First Address | Austin, TX 78712-1850 |
Second Address | Austin, TX 78712-1765 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2006 |
Last Update Date | 16/04/2019 |