Bandla, Prabhavathi

Bandla, Prabhavathi is an sole proprietor health care provider with primary practice located at 21216 Northwest Fwy Ste 360 , Cypress TX 77429-4696. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Bandla, Prabhavathi can be contacted via phone (281) 890-2121.

Contact Information

Primary practice address
21216 Northwest Fwy Ste 360 Cypress TX 77429-4696
Phone: (281) 890-2121
Fax: (281) 890-5677
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X F08201162 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1017269 Texas

Profile Details

NPI number 1568076537
LBN Legal business name Bandla, Prabhavathi
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 7th, 2020
Last updated Jun 23rd, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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