Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 10024 | TX |
Y | 111NN1001X | Nutrition | 10024 | TX |
NPI | 1174718852 |
---|---|
Provider Name | Dr. Shawn K Taher |
First Address | Houston, TX 77070-5281 |
Second Address | Houston, TX 77070-5281 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2007 |
Last Update Date | 28/04/2017 |