Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207YS0123X | Facial Plastic Surgeon | D67277 | MD |
Y | 207YS0123X | Facial Plastic Surgeon | N3731 | TX |
NPI | 1770755308 |
---|---|
Provider Name | Tang Ho |
First Address | Houston, TX 77030-1501 |
Second Address | Houston, TX 77030-1521 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2008 |
Last Update Date | 04/01/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
017691500 | (05) | MD |
205053601 | (05) | TX |
8CC320 | BCBS (01) | TX |