Healthcare Provider Details

I. General information

NPI: 1982970455
Provider Name (Legal Business Name): NEIL KATHURIA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2012
Last Update Date: 08/05/2020
Certification Date: 08/05/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 VETERANS MEMORIAL DR
TEMPLE TX
76504-7451
US

IV. Provider business mailing address

4015 S LAMAR BLVD
AUSTIN TX
78704-7966
US

V. Phone/Fax

Practice location:
  • Phone: 254-778-4811
  • Fax:
Mailing address:
  • Phone: 512-774-5780
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberQ8082
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: