Individual
PRIYA GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SURGICAL ASSISTANT
Contact information
Practice address
7324 SOUTHWEST FWY STE 1550, HOUSTON, TX 77074-2053
(713) 779-9800
Mailing address
7324 SOUTHWEST FWY STE 1550, HOUSTON, TX 77074-2053
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
XOF849009353
BLUECROSS BLUESHIELD PPO
IL
Enumeration date
04/22/2016
Last updated
04/22/2016
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