Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0120X | Pediatric Surgery | AP135283 | TX |
Y | 363LP0200X | Nurse Practitioner - Pediatrics | AP135283 | TX |
NPI | 1639689870 |
---|---|
Provider Name | Felicia Renee Denner |
First Address | Houston, TX 77021-2039 |
Second Address | Houston, TX 77030-2608 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2017 |
Last Update Date | 07/11/2017 |