Individual
AMITA DATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15271 SOUTHWEST FWY, SUGAR LAND, TX 77478-3855
(713) 955-5700
Mailing address
5307 METZGER CT, SUGAR LAND, TX 77479-3681
(832) 712-4168
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
53621
TX
Other
Enumeration date
01/27/2021
Last updated
01/27/2021
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