Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QG0300X | Family Doctor - Geriatric Medicine | P0464 | TX |
NPI | 1326206822 |
---|---|
Provider Name | Dr. Sirisha Parvataneni |
First Address | Spring, TX 77389-5125 |
Second Address | Spring, TX 77389-5125 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2008 |
Last Update Date | 19/06/2019 |