Individual
DR. INDIRA MUTYALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
6410 HIDDEN CREST WAY, SUGAR LAND, TX 77479-5584
(832) 407-7756
Mailing address
6410 HIDDEN CREST WAY, SUGAR LAND, TX 77479-5584
(832) 407-7756
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
G4177
TX
Other
Enumeration date
03/10/2015
Last updated
03/10/2015
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