Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | H4089 | TX |
NPI | 1316033889 |
---|---|
Provider Name | Michele Follen |
First Address | El Paso, TX 79905-2709 |
Second Address | El Paso, TX 79905-2707 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2006 |
Last Update Date | 31/10/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
134309708 | (05) | TX |