Healthcare Provider Details

I. General information

NPI: 1396286969
Provider Name (Legal Business Name): USHMA NUTHAKI FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: USHMA SOLANKI FNP

II. Dates (important events)

Enumeration Date: 03/16/2017
Last Update Date: 01/27/2023
Certification Date: 01/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20675 FM 1093 RD # A
RICHMOND TX
77407-7778
US

IV. Provider business mailing address

PO BOX 392929
PITTSBURGH PA
15251-9900
US

V. Phone/Fax

Practice location:
  • Phone: 713-461-2915
  • Fax: 713-461-5307
Mailing address:
  • Phone: 713-461-2915
  • Fax: 713-461-5307

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP133254
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: