Individual
MARY R PRASAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
6410 FANNIN ST, 500, HOUSTON, TX 77030-3000
(832) 325-7111
(713) 500-5711
Mailing address
PO BOX 201088, HOUSTON, TX 77216-1088
(713) 500-3500
(713) 500-5484
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
30577
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164975801
—
TX
Enumeration date
06/20/2006
Last updated
07/13/2007
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