person
Pranav Ravichandran
Military Health Care Provider in Fort Sam Houston, Texas
NPI 1588316301

Pranav Ravichandran is a Military Health Care Provider based in Fort Sam Houston, TX. Pranav Ravichandran practices in Fort Sam Houston, TX. The NPI Number for Pranav Ravichandran is 1588316301 and holds a License No. (Texas).

The current practice location address for Pranav Ravichandran is 3551 Roger Brooke Dr, Fort Sam Houston, TX and can be reached out via phone at 210-916-0439 and via fax at 210-916-6658.

Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX, 78234-4504
person
Provider Profile Details
NPI Number
1588316301
Provider Name
Pranav Ravichandran
Credential
Provider Entity Type
Individual
Gender
Male
Address
3551 Roger Brooke Dr, Fort Sam Houston, TX, 78234-4504
Phone Number
210-916-0439
Fax Number
210-916-6658
Provider Enumeration Date
01/23/2022
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
3551 Roger Brooke Dr
City
State
Zip
78234-4504
Phone Number
210-916-0439
Fax Number
210-916-6658
person
Provider Business Mailing Address Details
Address
3551 Roger Brooke Dr
City
State
Zip
78234-4504
Phone Number
210-916-0439
Fax Number
210-916-6658
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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