Individual
DR. KRISHANTHAN VIGNESWARAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
920 FROSTWOOD DR STE 2.300, HOUSTON, TX 77024-2314
(713) 448-8048
Mailing address
17520 W GRAND PKWY S STE 450, SUGAR LAND, TX 77479-4983
(713) 486-7800
(713) 486-7830
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
S1534
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
398138301
—
TX
01
—
398138302
MEDICAID-CSHCN
TX
Enumeration date
05/07/2012
Last updated
01/03/2025
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