Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | P0567 | TX |
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | P0567 | TX |
NPI | 1033395538 |
---|---|
Provider Name | Talia Ramee Collier |
First Address | Houston, TX 77046-0207 |
Second Address | Houston, TX 77030-2608 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/01/2008 |
Last Update Date | 24/11/2014 |