Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MT191758 | PA |
N | 111NI0900X | Internist | MT191758 | PA |
Y | 207RX0202X | Medical Oncology | Q1852 | TX |
NPI | 1134317548 |
---|---|
Provider Name | Bora Lim |
First Address | Houston, TX 77210-4439 |
Second Address | Houston, TX 77030-4009 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2007 |
Last Update Date | 16/06/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
344795501 (MDACC) | (05) | TX |