Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207SG0201X | Clinical Genetics (M.D.) | H4843 | TX |
Y | 208000000X | Pediatrician | H4843 | TX |
NPI | 1740218296 |
---|---|
Provider Name | Hope Northrup |
First Address | Houston, TX 77216-1088 |
Second Address | Houston, TX 77030-3000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2006 |
Last Update Date | 16/06/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
137772301 | CSHCN (01) | TX |
137772305 | (05) | TX |
137772307 | MEDICAID GENETICS (01) | TX |
88Y681 | BCBS (01) | TX |
E03446 | (02) | TX |