Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | L0256 | TX |
NPI | 1093731747 |
---|---|
Provider Name | Natalie L Drake |
First Address | The Woodlands, TX 77382-2575 |
Second Address | The Woodlands, TX 77384-4103 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2006 |
Last Update Date | 19/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2696355 | (05) | OH |
H60426 | (02) |