Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | BP-10025787 | TX |
NPI | 1780821215 |
---|---|
Provider Name | Angela Kay Sturm |
First Address | Houston, TX 77030-1336 |
Second Address | Houston, TX 77030-1336 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/01/2009 |
Last Update Date | 26/05/2016 |