Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fort Bend Internal Medicine and Pediatrics, PA

Organization Internal Medicine Physician · NPI 1477604775

Fort Bend Internal Medicine and Pediatrics, PA is an Internal Medicine Physician in Missouri City, Texas. Licensed in Texas. Registered with an NPI since 2007.

Licensed in
TX
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4646 Riverstone Blvd
Missouri City, TX 77459-6141
Phone: (281) 208-1908
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence L7205 (TX)
Pediatrics Physician Taxonomy 208000000X · Licence L7205 (TX)

Record details

NPI number1477604775
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hari Susarla — Physician · (281) 208-1908
NPI enumeratedJanuary 15, 2007
Last updated in NPPESJuly 25, 2008
Mailing addressPo Box 17295, Sugar Land, TX 77496-7295

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