Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | P4075 | TX |
N | 207ND0101X | MOHS-Micrographic Surgeon | P4075 | TX |
NPI | 1033466487 |
---|---|
Provider Name | Robert Lin |
First Address | Katy, TX 77494-7466 |
Second Address | Katy, TX 77494-7466 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2012 |
Last Update Date | 26/02/2018 |