Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | H9474 | TX |
NPI | 1023045978 |
---|---|
Provider Name | Dr. Joan Saunders Purcell |
First Address | The Woodlands, TX 77381-2563 |
Second Address | The Woodlands, TX 77381-2563 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G10060 | (02) | TX |