Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 83230 | GA |
N | 207T00000X | Neurosurgeon | R6414 | TX |
NPI | 1093071029 |
---|---|
Provider Name | Kimberly Bojanwoski Hoang |
First Address | Houston, TX 77210-4439 |
Second Address | Houston, TX 77030 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2012 |
Last Update Date | 04/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
386000901 | (05) | TX |
386000902 | (05) | TX |