Healthcare Provider Details

I. General information

NPI: 1306661681
Provider Name (Legal Business Name): VRAJVIR PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2024
Last Update Date: 11/20/2024
Certification Date: 11/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

736 TELEPHONE RD
HOUSTON TX
77023-3118
US

IV. Provider business mailing address

736 TELEPHONE RD
HOUSTON TX
77023-3118
US

V. Phone/Fax

Practice location:
  • Phone: 713-926-1212
  • Fax:
Mailing address:
  • Phone: 713-926-1212
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. KAVAN GANDHI
Title or Position: OWNER
Credential:
Phone: 281-787-7196