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Individual

EVA M PRAKASH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
8850 LONG POINT RD, HOUSTON, TX 77055-3006
(713) 722-3775
(713) 722-3731
Mailing address
PO BOX 200993, HOUSTON, TX 77216-0993
(281) 784-1111
(281) 784-1555

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
K8429
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
096911503
TX
05
096911505
TX
05
096911506
TX
01
1528048774
TRICARE SOUTH
TX
01
8Z0977
BC/BS PROVIDER NUMBER
TX
Enumeration date
01/21/2006
Last updated
04/23/2010
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