Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | M6989 | TX |
NPI | 1033299938 |
---|---|
Provider Name | Kjersti Marie Aagaard-Tillery |
First Address | Houston, TX 77210-4775 |
Second Address | Houston, TX 77030-2348 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2006 |
Last Update Date | 14/01/2011 |