Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 036.128466 | IL |
Y | 207PP0204X | Pediatric Emergency Physician | R9177 | TX |
NPI | 1356592547 |
---|---|
Provider Name | Dr. Yuemi An-Grogan |
First Address | Houston, TX 77030 |
Second Address | Houston, TX 77030 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/10/2008 |
Last Update Date | 23/10/2018 |