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General NPI Number Information
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NPI Number | 1437418746
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Entity Type | Individual
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Provider Name | KRISHANTHAN VIGNESWARAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/07/2012
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Last Update Date | 01/03/2025
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Provider Practice Location Address
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Address Line | 920 FROSTWOOD DR STE 2.300
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City | HOUSTON
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State | TX
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Zip | 77024-2314
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Country | US
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Telephone | 713-448-8048
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Fax |
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Provider Business Mailing Address
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Address Line | 17520 W GRAND PKWY S STE 450
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City | SUGAR LAND
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State | TX
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Zip | 77479-4983
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Country | US
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Telephone | 713-486-7800
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Fax | 713-486-7830
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | S1534
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License Number State | TX
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