Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QA0505X | Family Doctor - Adult Medicine | 249773 | TX |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 249773 | TX |
NPI | 1225190416 |
---|---|
Provider Name | Lois E Muhammad |
First Address | Houston, TX 77266-6308 |
Second Address | Beaumont, TX 77705 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/12/2006 |
Last Update Date | 14/10/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
080462703 | (05) | TX |