Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0207X | Pediatric Hematology-Oncologist | N9782 | TX |
NPI | 1114185188 |
---|---|
Provider Name | Dr. Nidale Tarek |
First Address | Houston, TX 77055-7622 |
Second Address | Houston, TX 77055-7622 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2008 |
Last Update Date | 05/06/2012 |