Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2082S0105X | Plastic Hand Surgeon | G85212 | CA |
Y | 2086S0122X | Plastic and Reconstructive Surgery | G85212 | CA |
NPI | 1982608683 |
---|---|
Provider Name | Thomas B Mcnemar |
First Address | Tracy, CA 95377-7330 |
Second Address | Tracy, CA 95377-7330 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2005 |
Last Update Date | 05/11/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H01719 | (02) | CA |