Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | AP143608 | TX |
NPI | 1033752944 |
---|---|
Provider Name | Michael Joseph Helminiak |
First Address | Houston, TX 77007-5981 |
Second Address | Houston, TX 77027-3105 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2019 |
Last Update Date | 23/10/2019 |