Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | G9226 | TX |
NPI | 1194778886 |
---|---|
Provider Name | Ted W Switzer |
First Address | San Antonio, TX 78248-1147 |
Second Address | San Antonio, TX 78248-1147 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A15908 | (02) | TX |