Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 1770 | TX |
NPI | 1093775470 |
---|---|
Provider Name | Miss Monica Ramesh Agarwal |
First Address | San Antonio, TX 78229-5389 |
Second Address | San Antonio, TX 78229-5389 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2006 |
Last Update Date | 08/07/2007 |