Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 20809 | TX |
NPI | 1114137627 |
---|---|
Provider Name | Nada Alsawaf |
First Address | Pearland, TX 77583 |
Second Address | Houston, TX 77056-4129 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2007 |
Last Update Date | 08/07/2007 |