Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223E0200X | Endodontist | 0401412857 | VA |
Y | 1223E0200X | Endodontist | 13851 | MD |
N | 1223E0200X | Endodontist | 30833 | TX |
NPI | 1013139500 |
---|---|
Provider Name | Dr. Tawana Denise Feimster |
First Address | Houston, TX 77070-2160 |
Second Address | Houston, TX 77070-2160 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2007 |
Last Update Date | 19/04/2017 |