Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 1427 | TX |
Y | 222Z00000X | Podiatrist | 1427 | TX |
NPI | 1043269152 |
---|---|
Provider Name | Dr. Iwona L Ciba |
First Address | Houston, TX 77064-8633 |
Second Address | Katy, TX 77494-6705 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2006 |
Last Update Date | 10/05/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
018589401 | (05) | TX |
U74038 | (02) | TX |