Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NI0013X | Independent Medical Examiner | 4011 | TX |
NPI | 1568902625 |
---|---|
Provider Name | Dr. Philip Lening |
First Address | Pasadena, TX 77505-3897 |
Second Address | Pasadena, TX 77505-3897 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2017 |
Last Update Date | 08/03/2017 |