Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0100X | Occupational Health | 9082 | TX |
NPI | 1477599439 |
---|---|
Provider Name | Dr. Nghia Dustin Mai |
First Address | Houston, TX 77008-3737 |
Second Address | Houston, TX 77008-3737 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U87450 | (02) | TX |