Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | E8878 | TX |
N | 207VE0102X | Reproductive Endocrinologist | E8878 | TX |
NPI | 1073516464 |
---|---|
Provider Name | Dr. Ivor L Safro |
First Address | Houston, TX 77024-2413 |
Second Address | Houston, TX 77024-2413 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2005 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B26103 | (02) | TX |
BC TX | 00BP68 (01) | TX |