Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | Q2321 | TX |
NPI | 1003197641 |
---|---|
Provider Name | Dr. Bhavik Kumar |
First Address | Houston, TX 77023-3548 |
Second Address | Houston, TX 77023 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2011 |
Last Update Date | 13/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
381581302 | (05) | TX |
381581303 | (05) | TX |
381581304 | (05) | TX |