Individual
DR. BEENU THAKRAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
Primary
Q2403
TX
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Q2403
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
342903701
—
TX
01
—
342903702
CSHCN MEDICAID
TX
Enumeration date
10/14/2009
Last updated
03/10/2023
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