Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XL0004X | Low Vision | 111862 | TX |
NPI | 1457681504 |
---|---|
Provider Name | Danese Elayne Zander |
First Address | Houston, TX 77204-2020 |
Second Address | Houston, TX 77204-2020 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/01/2010 |
Last Update Date | 12/01/2010 |