Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 224626 | NC |
N | 111NI0900X | Internist | 224626 | NC |
N | 207R00000X | Internist | 35.130643 | OH |
N | 111NI0900X | Internist | 35.130643 | OH |
N | 207R00000X | Internist | 67083-20 | WI |
N | 111NI0900X | Internist | 67083-20 | WI |
N | 207R00000X | Internist | 77631 | GA |
N | 111NI0900X | Internist | 77631 | GA |
N | 207R00000X | Internist | A111803 | CA |
N | 111NI0900X | Internist | A111803 | CA |
Y | 207R00000X | Internist | N8098 | TX |
Y | 111NI0900X | Internist | N8098 | TX |
NPI | 1003007287 |
---|---|
Provider Name | Dr. Michaela Elizabeth Ginn |
First Address | Houston, TX 77079 |
Second Address | Houston, TX 77079 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2007 |
Last Update Date | 05/06/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
4651532834 | MYUTMB 4651532834 (01) |