Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | J6451 | TX |
NPI | 1295745552 |
---|---|
Provider Name | Doris Garrido |
First Address | Sugar Land, TX 77479-4054 |
Second Address | Houston, TX 77004-6900 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2006 |
Last Update Date | 11/01/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G72546 | (02) | TX |