Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | N7803 | TX |
NPI | 1174777015 |
---|---|
Provider Name | Xiaoming Guan |
First Address | Houston, TX 77030-2346 |
Second Address | Houston, TX 77030-2346 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/11/2008 |
Last Update Date | 28/06/2011 |