Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | K1175 | TX |
NPI | 1063443216 |
---|---|
Provider Name | Komal F Chopra Stoerr |
First Address | Houston, TX 77024-7785 |
Second Address | Houston, TX 77024 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2006 |
Last Update Date | 04/06/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
630176 | MEDICARE (01) | TX |
H20973 | (02) | TX |