Provider Demographics
NPI:1033799788
Name:NUWAL, TAPAS (MD)
Entity type:Individual
Prefix:DR
First Name:TAPAS
Middle Name:
Last Name:NUWAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17111 CARSHALTON CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-6477
Mailing Address - Country:US
Mailing Address - Phone:512-947-1888
Mailing Address - Fax:
Practice Address - Street 1:27700 NORTHWEST FWY STE 601
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-7202
Practice Address - Country:US
Practice Address - Phone:346-231-6850
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-08
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXV2800207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine