Individual
AKIHIRO IZUMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6431 FANNIN ST, MSB 5.020, HOUSTON, TX 77030-1501
(713) 500-6202
Mailing address
6431 FANNIN ST, MSB 5.020, HOUSTON, TX 77030-1501
(713) 500-6202
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
J2107
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100698303
—
TX
01
—
8AB834
BCBS
TX
01
—
8AG834
BCBSTX
TX
Enumeration date
10/14/2005
Last updated
12/22/2022
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