Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0300X | Periodontist | 18354292 | TX |
NPI | 1093016214 |
---|---|
Provider Name | Ashley Nicole Steinberg |
First Address | Houston, TX 77064 |
Second Address | Houston, TX 77064-7269 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/11/2010 |
Last Update Date | 04/11/2010 |