Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | E8951 | TX |
Y | 207YP0228X | Pediatric Otolaryngology | E8951 | TX |
NPI | 1619974631 |
---|---|
Provider Name | Marcelle Sulek |
First Address | Houston, TX 77030-2717 |
Second Address | Houston, TX 77030-2316 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2005 |
Last Update Date | 03/08/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
132955905 | (05) | TX |
C22396 | (02) |