Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | G5697 | TX |
NPI | 1023193141 |
---|---|
Provider Name | Mrs. Kamal Nalin Tolia |
First Address | Odessa, TX 79762-5019 |
Second Address | Odessa, TX 79762-5019 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/10/2006 |
Last Update Date | 08/07/2007 |