Individual
DR. BISTRA GUEORGUIEVA VLASSAKOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6411 FANNIN ST, HOUSTON, TX 77030-1501
(713) 500-6201
Mailing address
6431 FANNIN ST, HOUSTON, TX 77030-1501
(937) 500-6201
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
W2798
TX
207LP3000X
Pediatric Anesthesiology Physician
Primary
213763
MA
207LP3000X
Pediatric Anesthesiology Physician
Primary
W2798
TX
Other
Enumeration date
02/28/2007
Last updated
05/20/2026
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