Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | BP10056875 | TX |
Y | 207P00000X | Emergency Physician | R5548 | TX |
NPI | 1013365295 |
---|---|
Provider Name | Mrs. Laura Ann Galdamez |
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 | 29/05/2016 |
Last Update Date | 04/06/2019 |