Organization
ANISHA WAXALI MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANISHA V WAXALI M.D. (PHYSICIAN)
(281) 491-0094
Entity
Organization
Contact information
Practice address
4780 SWEETWATER BLVD, SUITE 100, SUGAR LAND, TX 77479-3162
(281) 491-0094
(281) 491-0111
Mailing address
4780 SWEETWATER BLVD, SUITE 100, SUGAR LAND, TX 77479-3162
(281) 491-0094
(281) 491-0111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37053802
—
TX
Enumeration date
08/30/2006
Last updated
08/23/2022
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