Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | G5367 | TX |
N | 2086S0105X | Surgery of the Hand | G5367 | TX |
NPI | 1720076151 |
---|---|
Provider Name | Dr. Thomas L Mehlhoff |
First Address | Houston, TX 77030-4509 |
Second Address | Houston, TX 77030-4509 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2005 |
Last Update Date | 11/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
133756003 | (05) | TX |
E30409 | (02) | TX |