Individual
ENNIAH NDAWANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3201 UNIVERSITY DR E STE 245, BRYAN, TX 77802-3483
(979) 776-0700
(979) 776-5624
Mailing address
3201 UNIVERSITY DR E STE 245, BRYAN, TX 77802-3483
(979) 776-0700
(979) 776-5624
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
PA12734
TX
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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