Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | T1656 | TX |
N | 2080P0208X | Pediatric Infectious Diseases | T1656 | TX |
NPI | 1558817221 |
---|---|
Provider Name | Dr. Andrea B Carlo Anglero |
First Address | Houston, TX 77030 |
Second Address | Houston, TX 77030 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2016 |
Last Update Date | 13/07/2021 |