Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | AP144392 | TX |
NPI | 1316585771 |
---|---|
Provider Name | Mrs. Linda J Paytonjian |
First Address | Aurora, TX 76078-4645 |
Second Address | Houston, TX 77030-1501 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/12/2019 |
Last Update Date | 15/12/2020 |