Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 219605-1 | NY |
Y | 207Q00000X | Family Doctor | T0810 | TX |
NPI | 1003800186 |
---|---|
Provider Name | Dr. Aneela N. Hussain |
First Address | Helotes, TX 78023-4508 |
Second Address | San Antonio, TX 78222-4914 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2005 |
Last Update Date | 09/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02232608 | (05) | NY |
H29655 | (02) | NY |