Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | S0606 | TX |
NPI | 1043748205 |
---|---|
Provider Name | Reem Al-Dallal |
First Address | Houston, TX 77030-5206 |
Second Address | Houston, TX 77030-5206 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2017 |
Last Update Date | 04/02/2021 |