Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | BP10043776 | TX |
Y | 2080P0205X | Pediatric Endocrinologist | Q4535 | TX |
NPI | 1215291588 |
---|---|
Provider Name | Mustafa Tosur |
First Address | Houston, TX 77030-2608 |
Second Address | Houston, TX 77030-2608 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2012 |
Last Update Date | 25/06/2015 |