Individual
RADHA DESARAZU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
11811 FM 1960 RD W, SUITE 100, HOUSTON, TX 77065-3827
(281) 970-2337
Mailing address
PO BOX 841969, DALLAS, TX 75284-1969
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
578239
TX
Other
Enumeration date
02/08/2007
Last updated
07/08/2007
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