Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | E0569 | TX |
NPI | 1417990151 |
---|---|
Provider Name | Inkyu Noh |
First Address | Houston, TX 77076-2938 |
Second Address | Houston, TX 77076-2938 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
10014572 | (05) | TX |
2165750 | AETNA (01) | |
4080595 | AETNA HMO (01) | |
E81284 | (02) | TX |