Individual
DR. CHRISTINA KLEIN PRAMUDJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
18300 KATY FWY STE 565, HOUSTON, TX 77094-1385
(281) 717-4003
(281) 206-7597
Mailing address
18300 KATY FWY STE 565, HOUSTON, TX 77094-1385
(281) 717-4003
(281) 206-7597
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
K4725
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174630701
—
TX
05
—
174630702
—
TX
05
—
174630704
—
TX
01
—
8656J1
BLUE CROSS BLUE SHIELD
TX
01
—
8BV062
BLUECROSS BLUESHIELD OF TX
TX
01
—
P00725225
RAILROAD MEDICARE
TX
Enumeration date
09/28/2005
Last updated
02/06/2020
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