Individual
BRENDA SUE HOUMARD
Active
Individual
BRENDA SUE HOUMARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MD00036136
WA
207VE0102X
Reproductive Endocrinology Physician
Primary
MD00036136
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160054095
RAILROAD MEDICARE
WA
05
—
1649350612
—
WA
01
—
234040
INTERNAL ID-MOTOR VEHICLE ID
—
Enumeration date
10/16/2006
Last updated
06/07/2011
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