Individual
SOWMYA MARIAM JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1502 TAUB LOOP, HOUSTON, TX 77030-1608
(713) 873-8890
Mailing address
1977 BUTLER BLVD STE E5.200, HOUSTON, TX 77030-4101
(713) 873-2000
(713) 798-5841
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
TX
363AS0400X
Surgical Physician Assistant
Primary
PA213049
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2257109
—
WA
05
—
500825015
—
OR
Enumeration date
11/18/2011
Last updated
11/13/2025
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