Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | N6455 | TX |
Y | 2084N0402X | Child Neurologist | N6455 | TX |
NPI | 1306101860 |
---|---|
Provider Name | Jennifer C Erklauer |
First Address | Houston, TX 77046-0297 |
Second Address | Houston, TX 77030-2608 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2012 |
Last Update Date | 08/03/2016 |