Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN1001X | Nutrition | 9920 | TX |
NPI | 1003939901 |
---|---|
Provider Name | Dr. Ynes Rodriguez Samuels |
First Address | Houston, TX 77014-3640 |
Second Address | Houston, TX 77028-1201 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2007 |
Last Update Date | 26/11/2018 |