Individual
BIN NI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
6560 FANNIN ST STE 1540, HOUSTON, TX 77030-2783
(713) 799-9997
(713) 799-2511
Mailing address
6560 FANNIN ST STE 1540, HOUSTON, TX 77030-2783
(832) 977-1880
(515) 206-6759
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
57.027753
OH
207R00000X
Internal Medicine Physician
W0685
TX
207RI0200X
Infectious Disease Physician
Primary
W0685
TX
Other
Enumeration date
03/27/2016
Last updated
02/23/2026
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