Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | K6867 | TX |
NPI | 1114956778 |
---|---|
Provider Name | Aldona Spiegel |
First Address | Houston, TX 77030-2761 |
Second Address | Houston, TX 77030-2761 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2006 |
Last Update Date | 07/07/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8EJ518 | BLUE CROSS BLUE SHIELD (01) | TX |
8S5863 | BLUE CROSS BLUE SHIELD (01) | TX |
H46243 | (02) | TX |