Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | R2544 | TX |
NPI | 1346595485 |
---|---|
Provider Name | Dr. Houston Lee Braly II |
First Address | Bellaire, TX 77401-2118 |
Second Address | Bellaire, TX 77401-2118 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2012 |
Last Update Date | 17/03/2018 |