Individual
DR. GOPIKIRAN THOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
117 LOUIS HENNA BLVD, B230, ROUND ROCK, TX 78664-7343
(512) 238-7449
Mailing address
1302 WAUGH DR # 986, HOUSTON, TX 77019-3908
(832) 202-8792
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30.022272
OH
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0024679
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
24679
TX
208600000X
Surgery Physician
N4160
TX
Other
Enumeration date
05/08/2009
Last updated
01/07/2013
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