Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | P1808 | TX |
NPI | 1003059932 |
---|---|
Provider Name | Melissa Elaine Prihoda |
First Address | Houston, TX 77284-1969 |
Second Address | Conroe, TX 77304-2836 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2009 |
Last Update Date | 26/07/2012 |