Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | Q7940 | TX |
NPI | 1013262138 |
---|---|
Provider Name | Mrs. Holly Ouillette |
First Address | Houston, TX 77054-2934 |
Second Address | Houston, TX 77054-2934 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2012 |
Last Update Date | 09/08/2016 |