Individual
VIDYARATNA A FLEETWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6620 MAIN ST, HOUSTON, TX 77030-2348
(832) 355-1400
Mailing address
727 LORILLARD CT, MADISON, WI 53703-3808
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
2020026557
MO
204F00000X
Transplant Surgery Physician
48730
TX
204F00000X
Transplant Surgery Physician
69614
WI
208600000X
Surgery Physician
125061738
IL
208600000X
Surgery Physician
2020026557
MO
208600000X
Surgery Physician
48730
TX
208600000X
Surgery Physician
69614
WI
208600000X
Surgery Physician
Primary
W0574
TX
Other
Enumeration date
06/27/2012
Last updated
10/06/2025
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