Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 0101244613 | VA |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 0101244613 | VA |
NPI | 1649475880 |
---|---|
Provider Name | Jeannie Huh |
First Address | Fort Sam Houston, TX 78234-4504 |
Second Address | Fort Sam Houston, TX 78234-4504 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2007 |
Last Update Date | 29/11/2021 |