Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 23426 | TX |
N | 1223G0001X | General Practice | 0023426 | TX |
N | 213EG0000X | General Practice | 0023426 | TX |
NPI | 1063697175 |
---|---|
Provider Name | Dr. Joyce Nazzal |
First Address | Sugar Land, TX 77479-3174 |
Second Address | Sugar Land, TX 77479-3174 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/01/2008 |
Last Update Date | 05/07/2011 |