Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 34470 | TX |
Y | 103T00000X | Psychologist | 34470 | TX |
NPI | 1003949470 |
---|---|
Provider Name | Meagan Nicole Houston |
First Address | Houston, TX 77069-4617 |
Second Address | Houston, TX 77069-4600 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2007 |
Last Update Date | 29/06/2021 |