Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN1001X | Nutrition | DC4074 | TX |
NPI | 1043331838 |
---|---|
Provider Name | Dr. Thomas Joseph Darragh |
First Address | Pasadena, TX 77502-5106 |
Second Address | Pasadena, TX 77502-5106 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2007 |
Last Update Date | 08/07/2007 |