Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 21141 | TX |
NPI | 1154766640 |
---|---|
Provider Name | Melissa Chiappe |
First Address | Houston, TX 77070-4047 |
Second Address | Houston, TX 77070-4047 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2013 |
Last Update Date | 09/05/2013 |