Doctor Name: | KAVITA VISHAL DESAI |
NPI Number: | 1023366747 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 807008 |
Business Practice Address: | 321 N Highland Suite 200 Sherman, TX - 75092 |
Business Phone Number: | 9038935141 |
Business Fax Number: | 9038914285 |
Mailing Address: | 321 N Highland, Suite 200 SHERMAN |
State: | TX |
Postal Code: | 75092 |
Phone Number: | 9038935141 |
Fax Number: | 9038914285 |
NPI Enumeration Date: | 08/28/2012 |
NPI Last Update Date: | 08/28/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 807008 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |