Healthcare Provider Details

I. General information

NPI: 1194174946
Provider Name (Legal Business Name): LIGHTFLOWER, LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2016
Last Update Date: 03/01/2023
Certification Date: 03/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 PRESTON RD SUITE 400
PLANO TX
75093-5186
US

IV. Provider business mailing address

1400 PRESTON RD SUITE 400
PLANO TX
75093-5186
US

V. Phone/Fax

Practice location:
  • Phone: 972-632-2358
  • Fax: 877-884-3992
Mailing address:
  • Phone: 972-632-2358
  • Fax: 877-884-3992

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. NEERAJ RAMAN SHARMA
Title or Position: CEO
Credential: M.D.
Phone: 972-632-2358