Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | F5378 | TX |
NPI | 1336537422 |
---|---|
Provider Name | Prabha Solanki |
First Address | Houston, TX 77072 |
Second Address | Houston, TX 77072 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/12/2014 |
Last Update Date | 26/12/2014 |