Individual
FNU CHANDRA KIRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1424 FALLBROOK DR, HOUSTON, TX 77038-1846
(346) 754-5070
Mailing address
1424 FALLBROOK DR, HOUSTON, TX 77038-1846
(346) 754-5070
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
119029
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447657507
NPI TYPE 2/ORGANIZATION NPI
MD
01
—
337361
MEDICARE PIN
MD
05
—
4374045-00
—
MD
Enumeration date
01/28/2019
Last updated
01/03/2024
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