Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | J7523 | TX |
NPI | 1154359230 |
---|---|
Provider Name | Dr. Vasif A Humayun |
First Address | Houston, TX 77029-1976 |
Second Address | Houston, TX 77029-1976 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2006 |
Last Update Date | 29/09/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E47347 | (02) |