Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | Q6451 | TX |
NPI | 1073892048 |
---|---|
Provider Name | Nagakrishnal Nachimuthu |
First Address | Livingston, TX 77351-9444 |
Second Address | Livingston, TX 77351-9444 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2011 |
Last Update Date | 10/08/2016 |