Individual
RADHA JAYAKUMAR BERNANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21308 PROVINCIAL BLVD, KATY, TX 77450-7580
(281) 206-8201
Mailing address
115 HIGH MEADOWS DR, SUGAR LAND, TX 77479-5106
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA11114
TX
Other
Enumeration date
06/01/2017
Last updated
06/01/2017
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