Individual
SISTLA B KRISHNA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7737 SOUTHWEST FWY, SUITE 805, HOUSTON, TX 77074-1807
(713) 988-6774
(713) 771-6074
Mailing address
7737 SOUTHWEST FWY, SUITE 805, HOUSTON, TX 77074-1806
(713) 988-6774
(713) 771-6074
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
F8542
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1375115
—
TX
Enumeration date
06/11/2006
Last updated
07/08/2007
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