Individual
DR. HARI KRISHNA SUSARLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
837 FM 1960 RD W, SUITE 105, HOUSTON, TX 77090-3423
(281) 586-3888
(281) 440-2020
Mailing address
11511 SHADOW CREEK PARKWAY HR/CREDENTIALING SERVICES, PEARLAND, TX 77584-7298
(713) 442-0000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L7205
TX
208000000X
Pediatrics Physician
L7205
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1626293-01
—
TX
Enumeration date
09/30/2005
Last updated
06/26/2023
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