Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | A121730 | CA |
NPI | 1114187440 |
---|---|
Provider Name | Dr. Daniel Joseph Desalvo |
First Address | Houston, TX 77046-0297 |
Second Address | Houston, TX 77030-2608 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2008 |
Last Update Date | 04/03/2015 |