Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | Q5440 | TX |
NPI | 1033344387 |
---|---|
Provider Name | Dr. Kunal Sudhir Jain |
First Address | Houston, TX 77030 |
Second Address | Houston, TX 77030-1539 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2009 |
Last Update Date | 17/07/2020 |