Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | L9916 | TX |
NPI | 1043414634 |
---|---|
Provider Name | Dr. Karan Kaur Sra |
First Address | Webster, TX 77598-4967 |
Second Address | Webster, TX 77598-4967 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2007 |
Last Update Date | 26/07/2021 |