Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | K7972 | TX |
NPI | 1033219704 |
---|---|
Provider Name | Dr. Tova Liana Alladice |
First Address | Houston, TX 77074-2925 |
Second Address | Houston, TX 77074-2925 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/09/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G94510 | (02) | TX |