Individual
DR. PRITI TEWARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2009-00716
NC
208000000X
Pediatrics Physician
244006
NY
208000000X
Pediatrics Physician
P4520
TX
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
P4520
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
306812401
—
TX
01
—
306812404
MEDICAID-CSHCN
TX
01
—
8DL811
BCBS
TX
Enumeration date
04/09/2009
Last updated
02/20/2023
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