Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | R2067 | TX |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | R2067 | TX |
NPI | 1326486655 |
---|---|
Provider Name | Dr. Angela Burgess |
First Address | Houston, TX 77030-3004 |
Second Address | Houston, TX 77030-3004 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2013 |
Last Update Date | 25/01/2021 |