Organization
KINGWOOD PHYSICIAN GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANTOSH DIXIT DO (OWNER/PRESIDENT)
(512) 791-3198
Entity
Organization
Contact information
Practice address
23330 HIGHWAY 59 N, KINGWOOD, TX 77339-4471
(832) 653-3200
(832) 653-2978
Mailing address
911 SAN MARINO ST, SUGAR LAND, TX 77478-3329
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
10/26/2022
Last updated
11/30/2022
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