Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | F8594 | TX |
NPI | 1003863986 |
---|---|
Provider Name | Dr. Mool P Nigam |
First Address | Houston, TX 77022-2920 |
Second Address | Houston, TX 77022-2920 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2006 |
Last Update Date | 17/11/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B25166 | (02) |