Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | AP127815 | TX |
NPI | 1003294687 |
---|---|
Provider Name | Huan Mai |
First Address | Houston, TX 77070 |
Second Address | Houston, TX 77070 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2015 |
Last Update Date | 14/05/2015 |