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General NPI Number Information
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NPI Number | 1346184082
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Entity Type | Organization
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Legal Business Name | SWASTHYA HEALTHCARE LLC
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Dates
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Enumeration Date | 04/15/2026
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Last Update Date | 04/15/2026
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Provider Practice Location Address
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Address Line | 11658 SOUTHWEST FWY
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City | HOUSTON
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State | TX
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Zip | 77031-3612
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Country | US
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Telephone | 832-308-0388
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Fax |
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Provider Business Mailing Address
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Address Line | 11658 SOUTHWEST FWY
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City | HOUSTON
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State | TX
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Zip | 77031-3612
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Country | US
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Telephone | 832-308-0388
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Fax | 832-324-6912
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MR. SYAMJITH JAYADEVAN
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Credential | NP
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Telephone | 832-800-6044
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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