Provider Demographics
NPI:1285974261
Name:PUJARA, RACHANA
Entity type:Individual
Prefix:
First Name:RACHANA
Middle Name:
Last Name:PUJARA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25835 PALMDALE ESTATE DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-3877
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1260 PIN OAK RD.
Practice Address - Street 2:STE. 108
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-5603
Practice Address - Country:US
Practice Address - Phone:281-395-5599
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-27
Last Update Date:2013-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1195170225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist