Individual
DR. NADARAJAH VIGNESWARAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7500 CAMBRIDGE STREET, 5321, HOUSTON, TX 77054
(713) 486-4410
(713) 486-4416
Mailing address
PO BOX 301173, DALLAS, TX 75303-1173
(713) 486-4410
(713) 486-4416
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
20680
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
20680
TX
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
20680
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
190010074
RAILROAD MEDICARE
TX
01
—
87D869
BLUE CROSS BLUE SHIELD
TX
Enumeration date
10/02/2006
Last updated
09/26/2024
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