Individual
MRS. CHANDRALATHA THOTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
906 WAYSIDE DR, HOUSTON, TX 77011-2518
(713) 923-6627
(713) 923-9383
Mailing address
906 WAYSIDE DR, HOUSTON, TX 77011-2518
(713) 923-6627
(713) 923-9383
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E7517
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112022201
—
TX
05
—
112022202
—
TX
05
—
112022203
—
TX
05
—
112022204
—
TX
05
—
112022205
—
TX
01
—
8F22098
MEDICARE PTAN NUMBER
—
Enumeration date
09/27/2006
Last updated
10/01/2025
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