Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | PT 12804 | ND |
NPI | 1003252909 |
---|---|
Provider Name | Dr. Vivian Lami Adum |
First Address | Baytown, TX 77521-3155 |
Second Address | Baytown, TX 77521-3155 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2013 |
Last Update Date | 02/03/2019 |