Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | Q7045 | TX |
NPI | 1134418957 |
---|---|
Provider Name | Maya Gharfeh |
First Address | Waco, TX 76712-6630 |
Second Address | Waco, TX 76712-6630 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2011 |
Last Update Date | 17/01/2019 |