Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | BP10034583 | TX |
Y | 207YP0228X | Pediatric Otolaryngology | Q4715 | TX |
N | 207YP0228X | Pediatric Otolaryngology | R-09923 | IA |
NPI | 1417205329 |
---|---|
Provider Name | Dr. Elton Melville Ashe-Lambert |
First Address | Houston, TX 77030-2608 |
Second Address | Houston, TX 77030-2608 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/08/2012 |
Last Update Date | 05/08/2015 |