Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | P19132 | MD |
Y | 2080P0202X | Pediatric Cardiologist | 10549383-1205 | UT |
NPI | 1205973526 |
---|---|
Provider Name | Mary C Niu |
First Address | Houston, TX 77005-4092 |
Second Address | Houston, TX 77030-2303 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2007 |
Last Update Date | 09/11/2021 |