Healthcare Provider Details

I. General information

NPI: 1699053892
Provider Name (Legal Business Name): ANUP K AGGARWAL CSA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2011
Last Update Date: 07/22/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16659 SOUTHWEST FWY STE 151
SUGAR LAND TX
77479-2395
US

IV. Provider business mailing address

16659 SOUTHWEST FWY STE 151
SUGAR LAND TX
77479-2395
US

V. Phone/Fax

Practice location:
  • Phone: 713-774-6337
  • Fax: 281-313-7747
Mailing address:
  • Phone: 713-774-6337
  • Fax: 281-313-7747

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZS0410X
TaxonomySurgical Technologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: