Individual
VIKRAM MEHRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21613 PROVINCIAL BLVD, KATY, TX 77450-6506
(713) 777-9900
(713) 777-9902
Mailing address
21613 PROVINCIAL BLVD, KATY, TX 77450-6506
(713) 777-9900
(713) 777-9902
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
J6591
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00476T
MEDICARE GROUP
TX
05
—
116322205
—
TX
Enumeration date
05/17/2006
Last updated
10/24/2019
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