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Individual

DIVYA GUPTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
909 FROSTWOOD DR, SUITE 1.100, HOUSTON, TX 77024-2301
(713) 338-4523
Mailing address
909 FROSTWOOD DR, SUITE 1.100, HOUSTON, TX 77024-2301
(713) 338-5519

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2011018951
MO
207R00000X
Internal Medicine Physician
Primary
Q4590
TX

Other

Enumeration date
07/09/2008
Last updated
10/08/2020
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