Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | R7500 | TX |
N | 207RH0003X | Hematology & Oncology | R7500 | TX |
NPI | 1417211368 |
---|---|
Provider Name | Gregory Peter Kaufman |
First Address | Houston, TX 77210-4439 |
Second Address | Houston, TX 77030 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2012 |
Last Update Date | 10/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
392363301 | (05) | TX |
392363302 | CSHCN (01) | TX |
8KC077 | BCBS (01) | TX |