Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | L0356 | TX |
NPI | 1114924750 |
---|---|
Provider Name | Dr. Christine Kucera |
First Address | The Woodlands, TX 77382-2777 |
Second Address | The Woodlands, TX 77382-2777 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2005 |
Last Update Date | 30/01/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F59916 | (02) | TX |