Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | N5659 | TX |
Y | 208600000X | Surgeon | N5659 | TX |
NPI | 1013107887 |
---|---|
Provider Name | Dr. Khoi H Du |
First Address | Webster, TX 77598-4234 |
Second Address | Webster, TX 77598-4234 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2007 |
Last Update Date | 14/11/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1090760 | (05) | LA |