Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | N2255 | TX |
N | 2084N0402X | Child Neurologist | N2255 | TX |
N | 2084N0600X | Clinical Neurophysiologist | N2255 | TX |
NPI | 1063688612 |
---|---|
Provider Name | Dr. Michael M Quach |
First Address | Houston, TX 77030 |
Second Address | Houston, TX 77030 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2008 |
Last Update Date | 29/10/2010 |