Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 9438 | TX |
N | 111NN1001X | Nutrition | 9438 | TX |
NPI | 1467530444 |
---|---|
Provider Name | Dr. Jodi Marie Altman |
First Address | Houston, TX 77079-2203 |
Second Address | Houston, TX 77079-2203 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 24/06/2019 |