Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | K4283 | TX |
NPI | 1114013091 |
---|---|
Provider Name | Ara A. Vaporciyan |
First Address | Houston, TX 77210-4439 |
Second Address | Houston, TX 77030-4009 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2006 |
Last Update Date | 29/06/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
190008646 | RR MEDICARE (01) | TX |
38698901 | (05) | TX |
82151S | BCBS (01) | TX |
G72127 | (02) |