Individual
SENTHILNAYAKI KASIRAJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30575 KINGSLAND BLVD # 150, BROOKSHIRE, TX 77423-2844
(281) 717-4674
(833) 318-0533
Mailing address
21319 WILD JASMINE LN, KATY, TX 77450-5452
(407) 403-0967
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1003027
TX
363L00000X
Nurse Practitioner
1003027
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
1003027
TX
Other
Enumeration date
07/14/2020
Last updated
03/14/2023
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