Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RX0202X | Medical Oncology | MD60108239 | WA |
Y | 207RX0202X | Medical Oncology | S8015 | TX |
NPI | 1063745727 |
---|---|
Provider Name | Laura Quan Man Chow |
First Address | Austin, TX 78712-1850 |
Second Address | Seattle, WA 98109-4405 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2009 |
Last Update Date | 09/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0254613 | L&I (01) | WA |
1063745727 | (05) | WA |