Provider Demographics
NPI:1063669232
Name:TIU, NENITA U
Entity Type:Individual
Prefix:DR
First Name:NENITA
Middle Name:U
Last Name:TIU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11511 VETERANS MEMORIAL DR STE 300
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77067-2603
Mailing Address - Country:US
Mailing Address - Phone:281-444-7726
Mailing Address - Fax:281-444-9426
Practice Address - Street 1:11511 VETERANS MEMORIAL DR STE 300
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77067-2603
Practice Address - Country:US
Practice Address - Phone:281-444-7726
Practice Address - Fax:281-444-9426
Is Sole Proprietor?:No
Enumeration Date:2008-08-19
Last Update Date:2011-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK1942208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
760465919OtherTAX ID
1083861231OtherNPI