Individual
DOINA IVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
L6956
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182647101
—
TX
01
—
8V4144
BCBS
TX
01
—
P00347951
RR MEDICARE
TX
Enumeration date
07/16/2006
Last updated
04/03/2012
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