Individual
PRASHANT BHAGAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-PMHNP-BC
Contact information
Practice address
12301 MAIN ST, HOUSTON, TX 77035-6207
(713) 275-5000
Mailing address
1020 BRAND LN APT 1138, STAFFORD, TX 77477-5765
(832) 535-6112
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
818130
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1029379
TX
Other
Enumeration date
11/30/2019
Last updated
03/29/2021
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