Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | S3107 | TX |
Y | 2080P0210X | Pediatric Nephrologist | S3107 | TX |
NPI | 1114312915 |
---|---|
Provider Name | Joseph Alge |
First Address | Houston, TX 77030-2619 |
Second Address | Houston, TX 77030-2608 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2015 |
Last Update Date | 26/06/2020 |