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Individual

PRAVEEN PARASHURAMAPPA KONASAGAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
SA-C

Contact information

Practice address
17424 W GRAND PKWY S STE 135, SUGAR LAND, TX 77479-2564
(713) 562-6237
(832) 449-3663
Mailing address
17424 W GRAND PKWY S STE 135, SUGAR LAND, TX 77479-2564
(713) 562-6237
(832) 449-3663

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
10-294
TX

Other

Enumeration date
09/20/2011
Last updated
03/21/2012
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