Provider Demographics
NPI:1851500763
Name:BHALARA, PRAGNA (LOTA)
Entity Type:Individual
Prefix:MRS
First Name:PRAGNA
Middle Name:
Last Name:BHALARA
Suffix:
Gender:F
Credentials:LOTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13826 BROOKLET VIEW CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77059-3525
Mailing Address - Country:US
Mailing Address - Phone:281-480-7268
Mailing Address - Fax:
Practice Address - Street 1:13826 BROOKLET VIEW CT
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77059-3525
Practice Address - Country:US
Practice Address - Phone:281-480-7268
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX002719224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant