Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QG0300X | Family Doctor - Geriatric Medicine | L7577 | TX |
N | 208D00000X | General Practice Physician | L7577 | TX |
NPI | 1124231584 |
---|---|
Provider Name | Cynthia Gordon Tanguilig-Robinson |
First Address | Houston, TX 77054-3905 |
Second Address | Houston, TX 77054-3905 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2007 |
Last Update Date | 17/07/2016 |