Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | N0535 | TX |
Y | 208600000X | Surgeon | N0535 | TX |
NPI | 1013110733 |
---|---|
Provider Name | Dr. Irfan I Wadiwala |
First Address | Houston, TX 77269-0786 |
Second Address | Houston, TX 77070-4538 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2007 |
Last Update Date | 18/09/2018 |