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Individual

COURTNEY LYNN BAGCHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
Mailing address
P O BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA12803
TX
363AM0700X
Medical Physician Assistant
PA12803
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
402432501
TX
01
402432502
CSHCN (MEDICAID)
TX
01
8LT462
BCBS
TX
Enumeration date
07/02/2016
Last updated
07/31/2023
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