Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | J4363 | TX |
NPI | 1043383268 |
---|---|
Provider Name | Dr. Luzma M Houseal |
First Address | Amarillo, TX 79106-1758 |
Second Address | Amarillo, TX 79106-1758 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/11/2006 |
Last Update Date | 27/03/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F76724 | (02) |