Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | N9449 | TX |
NPI | 1063608933 |
---|---|
Provider Name | Mrs. Maia Fiodor Eppler |
First Address | Kingwood, TX 77345-2048 |
Second Address | Kingwood, TX 77339-4412 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/09/2007 |
Last Update Date | 20/03/2012 |