Healthcare Provider Details

I. General information

NPI: 1386872794
Provider Name (Legal Business Name): P.K.NOWLAKHA.M.D.,PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2009
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3511 TOWN CENTER BLVD S SUITE 101
SUGAR LAND TX
77479-1463
US

IV. Provider business mailing address

3511 TOWN CENTER BLVD S SUITE 101
SUGAR LAND TX
77479-1463
US

V. Phone/Fax

Practice location:
  • Phone: 281-565-0738
  • Fax: 281-565-0783
Mailing address:
  • Phone: 281-565-0738
  • Fax: 281-565-0783

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PREM K NOWLAKHA
Title or Position: PRESIDENT
Credential: M.D.,
Phone: 281-565-0738