Organization · NPI-2

Raj Dalal MD PA

Internal Medicine · Lake Jackson, TX

NPI number1144729492
StatusActive
Last updated in NPPESJun 16, 2018

Details

NPI
1144729492
Entity type
Organization (NPI-2)
Legal business name
Raj Dalal MD PA
Organization subpart
No
Enumeration date
Feb 1, 2018
Last updated
Jun 16, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineK0702TXYes

Practice location

192 Abner Jackson Pkwy
Lake Jackson, TX 77566-5160

Phone 979-285-0007 · Fax 979-529-2309

Mailing address

192 Abner Jackson Pkwy
Lake Jackson, TX 77566-5160

Authorized official

Sonal R Dalal
Office Manager
9792850007

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Internal Medicine providers in Lake Jackson, TX