Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | P1033 | TX |
N | 111NI0900X | Internist | P1033 | TX |
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | P1033 | TX |
NPI | 1063767598 |
---|---|
Provider Name | Dr. Risheng Xu |
First Address | Houston, TX 77094 |
Second Address | Houston, TX 77094-1151 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2012 |
Last Update Date | 11/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
327047206 | (05) | TX |