Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LG0600X | Nurse Practitioner - Gerontology | API45837 | TX |
N | 363LP2300X | Nurse Practitioner - Primary Care | API45837 | TX |
NPI | 1013521780 |
---|---|
Provider Name | Sindhu Joseph |
First Address | Austin, TX 78734 |
Second Address | Austin, TX 78757 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/09/2020 |
Last Update Date | 01/09/2020 |