Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN1001X | Nutrition | 4741 | TX |
NPI | 1346519063 |
---|---|
Provider Name | Dr. Joy R Jourdan |
First Address | Houston, TX 77248-7005 |
Second Address | Houston, TX 77008-1072 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/12/2011 |
Last Update Date | 27/12/2011 |