Individual
MS. POOJA NOWLAKHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
3511 TOWN CENTER BLVD S STE 101, SUGAR LAND, TX 77479
(281) 565-0738
Mailing address
3511 TOWN CENTER BLVD S STE 101, SUGAR LAND, TX 77479-1464
(281) 565-0738
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2301
TX
213E00000X
Podiatrist
T36-2014
TX
213EP1101X
Primary Podiatric Medicine Podiatrist
T36-2014
TX
213ES0103X
Foot & Ankle Surgery Podiatrist
T36-2014
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T36- 2014
TEMPORARY STATE BOARD LICENSE
TX
Enumeration date
07/25/2014
Last updated
11/13/2018
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