Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | Q6581 | TX |
NPI | 1023388162 |
---|---|
Provider Name | Dr. Trent Michael Talbot |
First Address | Houston, TX 77007-3556 |
Second Address | Houston, TX 77007-3556 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/01/2012 |
Last Update Date | 21/06/2016 |