Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | S1384 | TX |
NPI | 1487915609 |
---|---|
Provider Name | Dr. Selorm Aseye Adzaku Dei-Tutu |
First Address | Houston, TX 77021-2039 |
Second Address | Houston, TX 77030 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2012 |
Last Update Date | 13/06/2019 |