Individual
SANU S. NAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2727 E SOUTHLAKE BLVD, SOUTHLAKE, TX 76092-6613
(682) 885-6000
(682) 885-6050
Mailing address
PO BOX 99213, FORT WORTH, TX 76199-0213
(682) 885-1860
(682) 885-1396
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
N9303
TX
208000000X
Pediatrics Physician
N9303
TX
Other
Enumeration date
04/04/2008
Last updated
05/13/2021
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