Individual
IVEY ROYALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 BAYLOR PLZ STE 405A, HOUSTON, TX 77030-3411
(832) 822-5325
Mailing address
1 BAYLOR PLZ STE 405A, HOUSTON, TX 77030-3411
(832) 822-5325
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
T0331
TX
390200000X
Student in an Organized Health Care Education/Training Program
ML60561603
WA
Other
Enumeration date
06/04/2015
Last updated
01/26/2024
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