Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 8102 | TX |
NPI | 1427603695 |
---|---|
Provider Name | Andrea Aguirre |
First Address | Houston, TX 77008-2721 |
Second Address | Houston, TX 77008-2721 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2019 |
Last Update Date | 05/08/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
842610224 | THERAPY (01) | TX |