Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TH0100X | Health Service | DIGNOSTICIAN | TX |
NPI | 1609304195 |
---|---|
Provider Name | Ms. Gale D Huddleston |
First Address | Houston, TX 77084-7090 |
Second Address | Houston, TX 77084-7090 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2017 |
Last Update Date | 26/05/2017 |