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Individual

DR. MYTHILI NMN RANGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
27721 STATE HIGHWAY 249, SUITE 100, TOMBALL, TX 77375-3332
(281) 357-5115
(281) 516-9466
Mailing address
11840 FM 1960 RD W, HOUSTON, TX 77065-3840
(832) 912-7044
(832) 912-7033

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G1168
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
035826902
TX
05
035826904
TX
01
760608874
TAX ID#
TX
Enumeration date
03/03/2006
Last updated
10/22/2012
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