Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | D-8884 | TX |
N | 2080A0000X | Adolescent Medicine | D-8884 | TX |
NPI | 1194069062 |
---|---|
Provider Name | Nahid T. Guilak |
First Address | Houston, TX 77024-7267 |
Second Address | Houston, TX 77024-7267 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/11/2012 |
Last Update Date | 16/11/2012 |