Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 1495 | TX |
N | 222Z00000X | Podiatrist | 1495 | TX |
Y | 224P00000X | Prosthetist | 1495 | TX |
NPI | 1114285277 |
---|---|
Provider Name | Erin O'brien |
First Address | Houston, TX 77025-5600 |
Second Address | Houston, TX 77025-5600 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2012 |
Last Update Date | 26/04/2012 |