Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | S6774 | TX |
Y | 207RC0000X | Internist - Cardiovascular Disease | S6774 | TX |
NPI | 1073862488 |
---|---|
Provider Name | Lola Xie |
First Address | Houston, TX 77030-4202 |
Second Address | Houston, TX 77030-4202 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2012 |
Last Update Date | 13/01/2022 |