Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | L2260 | TX |
NPI | 1326146341 |
---|---|
Provider Name | Michael M. Frumovitz |
First Address | Houston, TX 77210-4439 |
Second Address | Houston, TX 77030 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2006 |
Last Update Date | 30/08/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
164887501 | (05) | TX |
8M5592 | BCBS (01) | TX |
I06107 | (02) | |
P00232951 | RR MEDICARE (01) | TX |