Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 28514 | TX |
Y | 213EG0000X | General Practice | 28514 | TX |
NPI | 1003249632 |
---|---|
Provider Name | Hae Jung Doh |
First Address | Jersey Village, TX 77064-4055 |
Second Address | Houston, TX 77054-2032 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2013 |
Last Update Date | 25/04/2019 |