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Individual

PREETHI ANTONY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
BAYLOR COLLEGE OF MEDICINE-BAYLOR ST LUKES MEDICAL GP, 6720 BERTNER AVENUE, HOUSTON, TX 77030
(832) 355-2666
Mailing address
4110 REGAL STONE LN, SUGAR LAND, TX 77479-7118
(318) 617-3701

Taxonomy

Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
AP133361
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
AP133361
TX
Enumeration date
05/22/2017
Last updated
06/16/2018
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