Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 697845 | TX |
NPI | 1013234301 |
---|---|
Provider Name | Saeed Niyati |
First Address | Plano, TX 75075-7523 |
Second Address | Plano, TX 75075 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2010 |
Last Update Date | 13/07/2010 |