Individual
AJAY KWATRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
690 S LOOP 336 W, SUITE 200, CONROE, TX 77304-3319
(936) 441-1005
(936) 521-1138
Mailing address
235 ANGEL LEAF RD, SPRING, TX 77380-2755
(855) 259-2872
(888) 815-6161
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
J6530
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103746702
—
TX
Enumeration date
10/10/2006
Last updated
07/13/2016
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