Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | S2856 | TX |
N | 208600000X | Surgeon | S2856 | TX |
Y | 2086S0102X | Surgical Critical Care | S2856 | TX |
NPI | 1013351360 |
---|---|
Provider Name | Grace Ng |
First Address | El Paso, TX 79905-1613 |
Second Address | El Paso, TX 79905-2707 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2013 |
Last Update Date | 12/09/2019 |