Individual
AVNEE BHAKTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
208 OAK DR S STE 200, LAKE JACKSON, TX 77566-5640
(979) 285-3633
Mailing address
208 OAK DR S STE 200, LAKE JACKSON, TX 77566-5640
(979) 285-3633
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
812724
TX
363LF0000X
Family Nurse Practitioner
Primary
AP142409
TX
Other
Enumeration date
08/07/2019
Last updated
05/11/2023
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