Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist |
NPI | 1003958554 |
---|---|
Provider Name | Dr. Geoffrey A. Land |
First Address | Houston, TX 77030-2707 |
Second Address | Houston, TX 77030-2703 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2007 |
Last Update Date | 08/07/2007 |