Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0100X | Occupational Health | DC5419 | IA |
NPI | 1568529840 |
---|---|
Provider Name | Dr. Steven J Enabnit |
First Address | Katy, TX 77450-2297 |
Second Address | Katy, TX 77450-2297 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2007 |
Last Update Date | 15/08/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8F7091 | (02) | TX |