Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QS0010X | Family Doctor - Sports Medicine | A146898 | CA |
N | 208000000X | Pediatrician | A146898 | CA |
Y | 208000000X | Pediatrician | T2831 | TX |
NPI | 1306281225 |
---|---|
Provider Name | Naomi Lena Betito |
First Address | Houston, TX 77030-4466 |
Second Address | Houston, TX 77030-4466 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/05/2013 |
Last Update Date | 02/12/2021 |