Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | P0097 | TX |
N | 2081S0010X | Sports Medicine | P0097 | TX |
N | 213ES0000X | Sports Medicine | P0097 | TX |
NPI | 1497913800 |
---|---|
Provider Name | Ankur D Mehta |
First Address | Houston, TX 77055-3040 |
Second Address | Houston, TX 77055-3040 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2008 |
Last Update Date | 29/03/2019 |