Individual
DIPAL KAUSHIK DIVECHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
16659 SOUTHWEST FWY, MOB 2, SUITE 461, SUGARLAND, TX 77479
(832) 532-7514
(832) 532-7801
Mailing address
16659 SOUTHWEST FWY, MOB 2, SUITE 461, SUGARLAND, TX 77479
(832) 532-7514
(832) 532-7801
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA08285
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA08285
MEDICAL LICENSE
TX
Enumeration date
04/04/2013
Last updated
04/08/2025
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