Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | M8708 | TX |
Y | 207Q00000X | Family Doctor | M8708 | TX |
NPI | 1003087230 |
---|---|
Provider Name | Aisha C Haynie |
First Address | Houston, TX 77027-3588 |
Second Address | Houston, TX 77027-3588 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/03/2008 |
Last Update Date | 10/12/2015 |