Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | BP10063419 | TX |
NPI | 1013409820 |
---|---|
Provider Name | Luis Daniel Neve |
First Address | Galveston, TX 77550-0521 |
Second Address | Galveston, TX 77550-0521 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2018 |
Last Update Date | 06/06/2018 |