Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP1600X | Pastoral Counselor |
NPI | 1134424849 |
---|---|
Provider Name | Dr. Victor Jonathan Alonso III |
First Address | Houston, TX 77090-2910 |
Second Address | Houston, TX 77060-3551 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/01/2011 |
Last Update Date | 12/12/2013 |