Individual
NINA PRABHA TAMIRISA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
(713) 794-5720
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
(713) 794-5720
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
R7911
TX
Other
Enumeration date
06/16/2010
Last updated
02/11/2019
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