Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | 34369 | TX |
NPI | 1083198311 |
---|---|
Provider Name | Husain Kapadia |
First Address | Cypress, TX 77429-0041 |
Second Address | Cypress, TX 77429-0041 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2018 |
Last Update Date | 21/09/2018 |