Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | A116647 | CA |
Y | 207VE0102X | Reproductive Endocrinologist | P9441 | TX |
NPI | 1306012620 |
---|---|
Provider Name | Dr. Candice O'hern Perfetto |
First Address | Houston, TX 77054-1952 |
Second Address | Houston, TX 77054 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/05/2008 |
Last Update Date | 29/01/2019 |