Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | Q8821 | TX |
NPI | 1083957922 |
---|---|
Provider Name | Melissa Helene Althouse |
First Address | San Antonio, TX 78229-3561 |
Second Address | San Antonio, TX 78229 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2013 |
Last Update Date | 01/08/2019 |