Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | E4253 | TX |
NPI | 1013025998 |
---|---|
Provider Name | Dr. Clement Chow |
First Address | Sugar Land, TX 77478-5016 |
Second Address | Sugar Land, TX 77478-5016 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C14467 | (02) | TX |