Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | K2335 | TX |
Y | 207YP0228X | Pediatric Otolaryngology | K2335 | TX |
NPI | 1790789444 |
---|---|
Provider Name | Carla M. Giannoni |
First Address | Houston, TX 77030-2717 |
Second Address | Houston, TX 77030-2316 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2005 |
Last Update Date | 19/07/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
141986301 | (05) | TX |
G50195 | (02) |