Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | R6782 | TX |
N | 208000000X | Pediatrician | 35-131339 | OH |
NPI | 1750709077 |
---|---|
Provider Name | Claire Gahm |
First Address | Houston, TX 77030-2358 |
Second Address | Houston, TX 77030-2358 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2014 |
Last Update Date | 10/10/2019 |