Healthcare Provider Details

I. General information

NPI: 1205387347
Provider Name (Legal Business Name): DR. AIRI HAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/24/2016
Last Update Date: 10/24/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 BAYLOR PLZ
HOUSTON TX
77030-3411
US

IV. Provider business mailing address

13222 TRAIL HOLLOW DR
HOUSTON TX
77079-3747
US

V. Phone/Fax

Practice location:
  • Phone: 713-798-1688
  • Fax:
Mailing address:
  • Phone: 713-798-4651
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1744R1102X
TaxonomyResearch Study Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: