Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | J1336 | TX |
N | 2080P0203X | Pediatric Critical Care Doctor | E-3926 | AR |
NPI | 1275623837 |
---|---|
Provider Name | Regina Okhuysen-Cawley |
First Address | Houston, TX 77046-0297 |
Second Address | Houston, TX 77046-0297 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2006 |
Last Update Date | 09/09/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
136094311 (MDACC) | (05) | TX |
150876001 | (05) | AR |
8AL250 | BCBS (MDACC) (01) | TX |
F74792 | (02) |