Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | G4414 | TX |
NPI | 1578775672 |
---|---|
Provider Name | Dr. Deepak Vij |
First Address | Sugar Land, TX 77479-2257 |
Second Address | Sugar Land, TX 77479-2257 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2007 |
Last Update Date | 08/07/2007 |