Individual
MR. MANISH GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4418 BLUEBONNET DR STE 401, STAFFORD, TX 77477-2904
(832) 350-9922
Mailing address
PO BOX 1488, SUGAR LAND, TX 77487-1488
(832) 350-9922
Taxonomy
Speciality
Code
Description
License number
State
2472E0500X
EEG Technician
Primary
—
—
Other
Enumeration date
08/20/2018
Last updated
04/04/2019
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