# RUKSHAN AZHAR MDPA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154623072
- **Authorized official:** RUKSHAN AZHAR (OWNER)
- **Authorized official phone:** (281) 428-7997

## Contact information

- **Practice address:** 855 ROLLINGBROOK DR STE 105, BAYTOWN, TX 77521-4073
- **Practice address phone:** (713) 885-5070
- **Mailing address:** 2802 GARTH RD STE 105, BAYTOWN, TX 77521-3924
- **Mailing address phone:** (713) 885-5070

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | J7894 | TX | Yes |

## Other

- **Enumeration date:** 11/29/2010
- **Last updated:** 08/03/2020