Individual
ANISHA RAO KALAVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2002 HOLCOMBE BLVD, HOUSTON, TX 77030-4211
(713) 791-1414
Mailing address
5815 PARKDALE CT, SUGAR LAND, TX 77479-4248
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA12821
TX
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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