Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | S7207 | TX |
Y | 111NI0900X | Internist | S7207 | TX |
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | S7207 | TX |
NPI | 1043606619 |
---|---|
Provider Name | Souad Enakuaa |
First Address | Webster, TX 77598-7336 |
Second Address | Webster, TX 77598-4841 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2015 |
Last Update Date | 25/10/2021 |