Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | D73740 | MD |
N | 111NI0900X | Internist | D73740 | MD |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 39620 | SC |
N | 207RC0000X | Internist - Cardiovascular Disease | 39620 | SC |
NPI | 1700043882 |
---|---|
Provider Name | Dr. Brian Allan Houston |
First Address | Charlotte, NC 28275-1461 |
Second Address | Charleston, SC 29425-8908 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2008 |
Last Update Date | 23/08/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
056127400 | (05) | MD |