Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | Q9608 | TX |
N | 207RC0000X | Internist - Cardiovascular Disease | Q9608 | TX |
NPI | 1609043637 |
---|---|
Provider Name | Dr. Nadia Fida |
First Address | Baytown, TX 77521-3156 |
Second Address | Baytown, TX 77521-3156 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2008 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
366721401 | (05) | TX |