Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 46040 | TX |
Y | 2080P0204X | Pediatric Emergency Doctor | S0250 | TX |
NPI | 1104246511 |
---|---|
Provider Name | Gency Silbe Abraham |
First Address | Houston, TX 77030-5389 |
Second Address | Houston, TX 77030-3005 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2014 |
Last Update Date | 01/09/2019 |