Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | J9083 | TX |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | J9083 | TX |
NPI | 1184625667 |
---|---|
Provider Name | Dr. Joanie Y Hare |
First Address | Houston, TX 77054-2934 |
Second Address | Houston, TX 77054-2934 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F59168 | (02) |