Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | K2553 | TX |
NPI | 1144311101 |
---|---|
Provider Name | Vassiliki Papadimitrakopoulou |
First Address | Houston, TX 77210-4439 |
Second Address | Houston, TX 77030-4009 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2006 |
Last Update Date | 27/03/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
110153110 | RR MEDICARE (01) | TX |
41275101 | (05) | TX |
82M075 | BCBS (01) | TX |
G52435 | (02) |