Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 542713 | TX |
NPI | 1023198389 |
---|---|
Provider Name | Monica Harden |
First Address | Houston, TX 77030-1608 |
Second Address | Houston, TX 77030-1608 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
80271M | (05) | TX |
R43772 | (02) |