Rukshan Azhar Mdpa

Specialty details in registry · Baytown, TX

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At a glance

855 Rollingbrook Dr Ste 105, Baytown, TX 77521-4073

NPPES record updated Aug 3, 2020. Public records can lag behind changes at a practice.

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Practice location

855 Rollingbrook Dr Ste 105
Baytown, TX 77521-4073
Professional details: NPI, taxonomy & registry record
NPI1154623072
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
2084P0804X
Enumeration date
Nov 29, 2010
Record updated
Aug 3, 2020
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

2084P0804X · Primary

License reported: J7894 TX

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

855 Rollingbrook Dr Ste 105
Baytown, TX 77521-4073
Phone
(713) 885-5070
Mailing address
2802 GARTH RD STE 105

BAYTOWN, TX 775213924
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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