Individual
DR. PRABHA BHALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11914 ASTORIA BLVD, SUITE 460, HOUSTON, TX 77089-6064
(281) 484-1186
(281) 922-1580
Mailing address
11914 ASTORIA BLVD, SUITE 460, HOUSTON, TX 77089-6064
(281) 484-1186
(281) 922-1580
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G2907
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00FW68
BC/BS
TX
05
—
098435301
—
TX
Enumeration date
11/01/2006
Last updated
07/12/2012
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