Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | AP132140 | TX |
NPI | 1003367475 |
---|---|
Provider Name | Annamaria Hager |
First Address | The Woodlands, TX 77384-8019 |
Second Address | The Woodlands, TX 77384-8011 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/10/2016 |
Last Update Date | 20/10/2016 |