Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 30862 | TX |
Y | 103T00000X | Psychologist | 30862 | TX |
NPI | 1013901727 |
---|---|
Provider Name | Dr. Pushpa N Chauhan |
First Address | Garland, TX 75043-2593 |
Second Address | Garland, TX 75043-2593 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2005 |
Last Update Date | 08/07/2007 |