Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | M6726 | TX |
NPI | 1083814248 |
---|---|
Provider Name | Hauw Swan Lie |
First Address | Brentwood, MO 63144-1101 |
Second Address | Plano, TX 75093-7939 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2007 |
Last Update Date | 24/07/2007 |