Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0202X | Pediatric Cardiologist | C1-0012520 | DE |
Y | 2080P0202X | Pediatric Cardiologist | T2246 | TX |
NPI | 1033378815 |
---|---|
Provider Name | Miss Adriana Carolina Prada Ruiz |
First Address | Houston, TX 77030-1501 |
Second Address | Houston, TX 77030-1501 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2008 |
Last Update Date | 11/08/2021 |