Individual
BISONG HAUPT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6801 EMMETT F LOWRY EXPY, TEXAS CITY, TX 77591-2500
(409) 938-5057
(409) 938-5175
Mailing address
PO BOX 746559, ATLANTA, GA 30374-6559
(409) 938-5057
(409) 938-5175
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
M8028
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01062651A
MEDICAL LICENSE
IN
Enumeration date
10/11/2007
Last updated
06/21/2022
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