Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | M2413 | TX |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | M2413 | TX |
NPI | 1306806773 |
---|---|
Provider Name | Dr. Tristi Wood Muir |
First Address | Houston, TX 77030-2722 |
Second Address | Houston, TX 77030-2722 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2006 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1766180-01 | (05) | TX |
1766180-02 | CSHCN (01) | TX |
176618005 | (05) | TX |
8U1460 | BLUE SHIELD (01) | TX |
H46742 | (02) | TX |