Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2082S0105X | Plastic Hand Surgeon | G9615 | TX |
NPI | 1245503143 |
---|---|
Provider Name | Brian Eric Lecompte |
First Address | Kingwood, TX 77325-6180 |
Second Address | Nederland, TX 77627-5505 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2012 |
Last Update Date | 23/02/2012 |