Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | L9473 | TX |
NPI | 1033299623 |
---|---|
Provider Name | Dr. Joohi Jimenez-Shahed |
First Address | Houston, TX 77210-4850 |
Second Address | Houston, TX 77030-2717 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2006 |
Last Update Date | 03/11/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
175575301 | (05) | TX |
175575303 | (05) | TX |
I23870 | (02) | TX |