Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0208X | Pediatric Infectious Diseases | E-14151 | AR |
NPI | 1023209012 |
---|---|
Provider Name | Dr. Sarah Marie Labuda |
First Address | Galveston, TX 77551-2073 |
Second Address | Galveston, TX 77555-0462 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2007 |
Last Update Date | 12/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
4642157098 | MYUTMB 4642157098 (01) |