Provider Demographics
NPI:1427230796
Name:CHOWDHURY, TASKINA (PNP)
Entity Type:Individual
Prefix:
First Name:TASKINA
Middle Name:
Last Name:CHOWDHURY
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:
Other - First Name:TASKINA
Other - Middle Name:
Other - Last Name:MASUD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PNP
Mailing Address - Street 1:7700 CAT HOLLOW DR STE 104
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-5797
Mailing Address - Country:US
Mailing Address - Phone:512-733-5437
Mailing Address - Fax:512-244-1861
Practice Address - Street 1:7700 CAT HOLLOW DR
Practice Address - Street 2:STE, 104
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-5796
Practice Address - Country:US
Practice Address - Phone:512-733-5437
Practice Address - Fax:512-323-5465
Is Sole Proprietor?:No
Enumeration Date:2007-11-28
Last Update Date:2019-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX712416363LP0200X
TXAP115600363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics