Individual
JIWAN L GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.L.D.
Contact information
Practice address
2515 BUSINESS CENTER DR, PEARLAND, TX 77584-2294
(713) 442-0000
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-0000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT06529
TX
Other
Enumeration date
12/30/2014
Last updated
10/25/2021
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