Healthcare Provider Details

I. General information

NPI: 1205640893
Provider Name (Legal Business Name): ANJALI SETHI DOUCETTE CPNP-PC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANJALI SETHI

II. Dates (important events)

Enumeration Date: 02/04/2025
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2106 RABB GLEN ST
AUSTIN TX
78704-3946
US

IV. Provider business mailing address

3130 N HARWOOD ST APT 702
DALLAS TX
75201-1116
US

V. Phone/Fax

Practice location:
  • Phone: 512-580-9204
  • Fax: 512-488-3668
Mailing address:
  • Phone: 469-525-6423
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number1171101
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: