Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NP0017X | Pediatric Chiropractor | 13190 | TX |
NPI | 1164886115 |
---|---|
Provider Name | Dr. Nina Price |
First Address | Katy, TX 77450-1016 |
Second Address | Katy, TX 77450-3896 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2016 |
Last Update Date | 06/04/2016 |