Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | Q5789 | TX |
NPI | 1194072579 |
---|---|
Provider Name | Dr. Elaine Saqui De Leon |
First Address | Houston, TX 77054-1849 |
Second Address | Houston, TX 77030-2703 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2012 |
Last Update Date | 02/11/2015 |