Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | M2396 | TX |
NPI | 1104809250 |
---|---|
Provider Name | Monica A. Mcgrann |
First Address | Houston, TX 77054-1920 |
Second Address | Houston, TX 77054-1920 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/11/2005 |
Last Update Date | 02/01/2008 |