Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | J0783 | TX |
NPI | 1679544308 |
---|---|
Provider Name | William C Mcgarvey |
First Address | Katy, TX 77494 |
Second Address | Katy, TX 77494 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
81Z186 | BCBS (01) | TX |
F92335 | (02) |