Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | 4998 | NC |
N | 111NP0017X | Pediatric Chiropractor | 4998 | NC |
N | 111NX0800X | Chiropractor Orthopedic Specialist | 4998 | NC |
NPI | 1912565755 |
---|---|
Provider Name | Dr. Patrick Lee Houser |
First Address | Charlotte, NC 28217-3585 |
Second Address | Charlotte, NC 28217-3585 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2019 |
Last Update Date | 05/06/2019 |