Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 9227 | TX |
NPI | 1003334699 |
---|---|
Provider Name | Dr. Haesoul Choi |
First Address | Katy, TX 77494-0468 |
Second Address | Houston, TX 77077-5808 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/09/2017 |
Last Update Date | 02/09/2017 |