Individual
MS. CHANDNI PAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11920 ASTORIA BLVD STE 320, HOUSTON, TX 77089-6097
(832) 367-0305
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA11531
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
392350001
—
TX
01
—
392350002
CSHCN MEDICAID
TX
01
—
PA11531
TMB
TX
Enumeration date
11/01/2017
Last updated
02/18/2019
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