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NPI Code Detail

MEDICARE: VATHSALA ARIYARATNA

MEDICARE: VATHSALA ARIYARATNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianR2042TX

General Provider Information

NPI Number : 1366861791
Entity Type Code : Individual
Provider Name (Legal Business Name) : VATHSALA ARIYARATNA
Provider Business Mailing Address
First Line : 13711 WALLISVILLE RD
Second Line :
City : HOUSTON
State : TX
Zip : 77049-3908
Country : US
Telephone Number : 713-455-7777
Fax Number :
Provider Business Practice Location Address
First Line : 13711 WALLISVILLE RD
Second Line :
City : HOUSTON
State : TX
Zip : 77049-3908
Country : US
Telephone Number : 713-455-7777
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2014
Last Update Date : 10/15/2018

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Directions to “ VATHSALA ARIYARATNA ” Practice Location

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