Organization
NISHAN D. ADIHETTY MD, PLLC
Active
Other names
PATHWAYS SPECIALTY CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
ROTUNDA DOTSON (BILLING MANAGER)
(713) 876-7630
Entity
Organization
Contact information
Practice address
2219 SAWDUST RD STE 1004, SPRING, TX 77380-2580
(832) 856-1127
Mailing address
2219 SAWDUST RD STE 1004, SPRING, TX 77380-2580
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N5521
TEXAS MEDICAL BOARD
TX
Enumeration date
07/09/2020
Last updated
07/17/2020
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