Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 35.125695 | OH |
Y | 2080P0202X | Pediatric Cardiologist | S1842 | TX |
NPI | 1124388509 |
---|---|
Provider Name | Dr. Joseph James Knadler |
First Address | Houston, TX 77030-2351 |
Second Address | Houston, TX 77030-2351 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2012 |
Last Update Date | 20/04/2021 |