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:
Health care specialties
| Specialty | Code | License # | 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 3 years ago |
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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