Individual
DR. SRINIVAS PUSHPALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6710 SPRING STUEBNER RD STE 700, SPRING, TX 77389-5197
(281) 791-0043
Mailing address
6710 SPRING STUEBNER RD STE 700, SPRING, TX 77389-5197
(281) 791-0043
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
32852
TX
1223G0001X
General Practice Dentistry
32852
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/29/2016
Last updated
08/24/2021
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