Individual
DR. MAYUR BHAGVANJI KANJIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17270 RED OAK DR, SUITE 200, HOUSTON, TX 77090-2618
(281) 440-6960
(281) 440-6205
Mailing address
17270 RED OAK DR, SUITE 200, HOUSTON, TX 77090-2618
(281) 440-6960
(281) 440-6205
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Q4612
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
Q4612
TX
208VP0000X
Pain Medicine Physician
Primary
Q4612
TX
208VP0014X
Interventional Pain Medicine Physician
Q4612
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q4612
MEDICAL LICENSE
TX
Enumeration date
04/05/2010
Last updated
08/10/2015
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