Individual
PASAKA RAMOGI GWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 S FRY RD, KATY, TX 77450-2255
(281) 599-5700
Mailing address
8107 LONGVALE DR, ROSENBERG, TX 77469-5074
(281) 704-6245
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP144680
TX
Other
Enumeration date
04/03/2020
Last updated
04/03/2020
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