Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | Q6175 | TX |
NPI | 1003171158 |
---|---|
Provider Name | Megan L Fankhauser |
First Address | Houston, TX 77030-1541 |
Second Address | Houston, TX 77030-1534 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2012 |
Last Update Date | 08/08/2017 |