Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | Q9617 | TX |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | Q9617 | TX |
NPI | 1124324058 |
---|---|
Provider Name | Dr. Aharon Zvi Gladstein |
First Address | Houston, TX 77030-2358 |
Second Address | Houston, TX 77030-2358 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/02/2011 |
Last Update Date | 23/08/2016 |