Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | D8879 | TX |
NPI | 1043695315 |
---|---|
Provider Name | Helmuth Goepfert |
First Address | Bellaire, TX 77401-5013 |
Second Address | Bellaire, TX 77401-5013 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2015 |
Last Update Date | 28/07/2015 |