Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207SG0201X | Clinical Genetics (M.D.) | S9925 | TX |
Y | 208000000X | Pediatrician | S9925 | TX |
NPI | 1588196463 |
---|---|
Provider Name | Erica Lay |
First Address | Houston, TX 77030-3411 |
Second Address | Houston, TX 77030-3411 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2017 |
Last Update Date | 07/07/2021 |