Individual
MISS ABHINAYA SRIDHAR BHAKTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6621 FANNIN ST, HOUSTON, TX 77030
(832) 826-5941
Mailing address
6621 FANNIN ST, HOUSTON, TX 77030-2358
(832) 826-5941
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10926
TX
Other
Enumeration date
11/07/2016
Last updated
08/27/2018
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