Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | F8749 | TX |
N | 2080P0214X | Pediatric Pulmonologist | F8749 | TX |
NPI | 1104912484 |
---|---|
Provider Name | Debra Atkinson Cutler |
First Address | Pearland, TX 77584-7298 |
Second Address | Houston, TX 77025-1669 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2006 |
Last Update Date | 06/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
115756205 | (05) | TX |
115756206 | (05) | TX |
154425604 | (05) | TX |