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Organization

PHYSIOTECH DIAGNOSTIC SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VIRENDRAKUMAR C DESAI M.A, PH.D., LPC (CEO)
(281) 731-6092
Entity
Organization

Contact information

Practice address
4111 HOUGHTON CT, SUGAR LAND, TX 77479-3959
(281) 731-6092
(281) 957-5609
Mailing address
4111 HOUGHTON CT, SUGAR LAND, TX 77479-3959
(281) 731-6092
(281) 957-5609

Taxonomy

Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary

Other

Enumeration date
02/03/2012
Last updated
02/03/2012
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