Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 99179 | TX |
NPI | 1164868741 |
---|---|
Provider Name | Ms. Anna Monica Caffrey |
First Address | Houston, TX 77007-7323 |
Second Address | Houston, TX 77004-5212 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2013 |
Last Update Date | 22/05/2013 |