Doctor Name: | DR. HIMANSHU MEHROTRA |
NPI Number: | 1023492881 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.D.S. |
License Number: | |
Business Practice Address: | 2402 19th St Lubbock, TX - 794014414 |
Business Phone Number: | 8063683731 |
Business Fax Number: | |
Mailing Address: | 6610 34th St, Apt #321 LUBBOCK |
State: | TX |
Postal Code: | 794072863 |
Phone Number: | 2017361647 |
Fax Number: | |
NPI Enumeration Date: | 07/11/2015 |
NPI Last Update Date: | 08/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |