Rukshan Azhar Mdpa

NPI 1154623072 - Psychiatry & Neurology - 2084P0804X

NPI Details
NPI 1154623072
Enumeration Date 11/29/2010
Last Updated 11/29/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name RUKSHAN RUKSHAN
Position PRESIDENT
Phone (713) 885-5070
Fax
Practice Location
2802 GARTH RD STE 105
BAYTOWN TX, 77521-3924, US
Phone (713) 885-5070
Fax
Business Location
2802 GARTH RD STE 105
BAYTOWN TX, 77521-3924, US
Phone (713) 885-5070
Fax
Toxanomy
Taxonomy Code 2084P0804X
License State Texas
License Number J7894
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According to our database, Rukshan Azhar Mdpa NPI is 1154623072, taxonomy code is 2084P0804X and license number is J7894, license state is located at Texas. Rukshan Azhar Mdpa physically located at 2802 Garth Rd Ste 105, Baytown TX, 77521-3924. NPI Number 1033115704 has the healthcare provider type.

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1154623072 NPI number is provided on an as is basis without warranty of any kind. 1154623072 is maintained by the National Plan & Provider Enumeration System. The contents of Rukshan Azhar Mdpa are for informational purposes only.