Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0100X | Occupational Health | DC6951 | TX |
NPI | 1598778201 |
---|---|
Provider Name | Dr. Suhail S. Al-Sahli |
First Address | Houston, TX 77058 |
Second Address | Houston, TX 77058-3304 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C06055959 | (05) | TX |
U64399 | (02) | TX |