NPI | 1225542574 |
---|---|
Former Name | CHRISTY RENEE HOGUE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: TX PA11674) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA11674) |
Enumeration Date | 2017-11-24 |
Last Update Date | 2024-05-22 |