Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | Q8671 | TX |
NPI | 1265797591 |
---|---|
Provider Name | Elizabeth Wang-Giuffre |
First Address | Dallas, TX 75303-1173 |
Second Address | Houston, TX 77030-3000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2012 |
Last Update Date | 27/09/2016 |