Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | J7511 | TX |
NPI | 1023055522 |
---|---|
Provider Name | Kattayoon Hashemi |
First Address | Houston, TX 77025-1424 |
Second Address | Houston, TX 77024-2305 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2006 |
Last Update Date | 05/03/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0077BS | BCBS (01) | TX |