Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | M9974 | TX |
Y | 2080P0201X | Pediatric Allergist | M9974 | TX |
NPI | 1528387735 |
---|---|
Provider Name | Kristin Hopkins Dillard |
First Address | Houston, TX 77024-1433 |
Second Address | Houston, TX 77024-1433 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2010 |
Last Update Date | 21/02/2019 |