Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | A69785 | CA |
NPI | 1275752271 |
---|---|
Provider Name | Susan Catherine Powers |
First Address | Houston, TX 77096-3721 |
Second Address | Houston, TX 77096-3721 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2007 |
Last Update Date | 08/07/2007 |