Individual
POOVAMMA B MUTHAPPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
14027 MEMORIAL DR # 252, HOUSTON, TX 77079
(281) 412-2494
(281) 412-2495
Mailing address
14207 MEMORIAL DR. STE 252, HOUSTON, TX 77079
(832) 203-7640
(832) 834-6409
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
H5596
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126236203
—
TX
Enumeration date
02/01/2007
Last updated
08/06/2018
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