Individual
DR. CHARU HASINI VASA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
5501 S MCCOLL RD, EDINBURG, TX 78539-5503
(956) 362-3558
Mailing address
5501 S MCCOLL RD, EDINBURG, TX 78539-5503
(956) 362-3558
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP10086109
TEXAS MEDICAL BOARD PHYSICIAN IN TRAINING POST-GRADUATE PERMIT
TX
Enumeration date
05/26/2023
Last updated
08/26/2023
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