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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MANISH GUPTA

Active

2472E0500X · STAFFORD, TX

Registration Details

NPI Number
1609356625
Provider Type
Individual
Gender
Male
NPI Issued
Aug 20, 2018 (7.6712523753533 yrs)
Last Updated
Apr 4, 2019

Practice Information

Address
4418 BLUEBONNET DR STE 401
STAFFORD, TX, 774772904
Browse TX providers · Browse ZIP 77477
Phone
8323509922
Primary Specialty
2472E0500X
2472E0500X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.