Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224P00000X | Prosthetist | 1486 | TX |
NPI | 1457619330 |
---|---|
Provider Name | Charlotte A Begnaud |
First Address | Houston, TX 77025-5600 |
Second Address | Houston, TX 77025-5600 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2012 |
Last Update Date | 27/04/2012 |