Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | R8520 | TX |
Y | 207Q00000X | Family Doctor | R8520 | TX |
NPI | 1093102477 |
---|---|
Provider Name | Nedal Adi |
First Address | Webster, TX 77598-7845 |
Second Address | Webster, TX 77598-4841 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2015 |
Last Update Date | 04/02/2022 |