Individual
HEMALATHA VIJAYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8191 SOUTHWEST FWY STE 118, HOUSTON, TX 77074-1700
(713) 778-0692
Mailing address
8191 SOUTHWEST FWY STE 118, HOUSTON, TX 77074-1700
(713) 778-0692
(713) 778-1748
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
J7241
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0060KV
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/09/2006
Last updated
01/03/2008
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