Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NI0013X | Independent Medical Examiner | 8117 | TX |
NPI | 1821263583 |
---|---|
Provider Name | Dr. Masomeh Della Abtahi |
First Address | Houston, TX 77042-4622 |
Second Address | Houston, TX 77042-4633 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2008 |
Last Update Date | 24/04/2008 |