Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 37493 | TX |
Y | 213EG0000X | General Practice | 37493 | TX |
NPI | 1003582586 |
---|---|
Provider Name | Bhavin Parbhu |
First Address | Pflugerville, TX 78660-4828 |
Second Address | Pflugerville, TX 78660 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2021 |
Last Update Date | 17/08/2021 |