Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 1270959 | TX |
NPI | 1083069785 |
---|---|
Provider Name | Kimberly Sam Aing |
First Address | Stafford, TX 77477-5630 |
Second Address | Houston, TX 77018-1323 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2016 |
Last Update Date | 10/08/2021 |