Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | 0000000 | TX |
NPI | 1245667435 |
---|---|
Provider Name | Ashley Matthews Spiller |
First Address | Houston, TX 77057-4305 |
Second Address | Houston, TX 77057-4305 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2013 |
Last Update Date | 02/10/2013 |