Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | M5170 | TX |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | M5170 | TX |
NPI | 1255542999 |
---|---|
Provider Name | Tomiko Fukuda |
First Address | Houston, TX 77030-4509 |
Second Address | Houston, TX 77030 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2007 |
Last Update Date | 30/07/2018 |