Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 14802 | AL |
NPI | 1063589471 |
---|---|
Provider Name | Virginia Houserman |
First Address | Birmingham, AL 35209-6899 |
Second Address | Birmingham, AL 35209-6899 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/11/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D91150 | (02) | AL |