Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0200X | Critical Care Medicine | L9386 | TX |
N | 207RP1001X | Pulmonary Disease | L9386 | TX |
NPI | 1013144690 |
---|---|
Provider Name | Priya N. Oolut |
First Address | Houston, TX 77216-1088 |
Second Address | Houston, TX 77030-3000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2009 |
Last Update Date | 14/12/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
179374702 | (05) | TX |
8CC218 | BCBSTX (01) | TX |