Healthcare Provider Details

I. General information

NPI: 1922405596
Provider Name (Legal Business Name): RAMITA SUWAL DANGOL FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/26/2014
Last Update Date: 11/26/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6565 FANNIN ST. 2030 - M4NW
HOUSTON TX
77030
US

IV. Provider business mailing address

13611 BRAYDON BEND DR.
HOUSTON TX
77041
US

V. Phone/Fax

Practice location:
  • Phone: 713-441-1044
  • Fax:
Mailing address:
  • Phone: 281-384-6211
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP126672
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: