MEDICARE: VIJAY BHAGIA, PA

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
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	20597	TX

General Provider Information

NPI Number	:	1851301238
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VIJAY BHAGIA, PA

Provider Business Mailing Address
First Line	:	1140 CLEAR LAKE CITY BLVD # C
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77062-8103
Country	:	US
Telephone Number	:	281-286-8945
Fax Number	:	281-486-4193

Provider Business Practice Location Address
First Line	:	1140 CLEAR LAKE CITY BLVD # C
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77062-8103
Country	:	US
Telephone Number	:	281-286-8945
Fax Number	:	281-486-4193

Authorized Official
Title or Position	:	ORTHODONTIST
Name	:	DR. VIJAY BHAGIA
Credential	:	DMD, MS
Telephone Number	:	281-286-8945

Provider Enumeration Date	:	08/09/2006
Last Update Date	:	08/22/2020

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Directions to “VIJAY BHAGIA, PA ” Practice Location

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