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2301 Ohio Drive Suite 295 Plano TX 75093-3998 | |
| (972) 672-5663 | |
| (972) 596-5284 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2301 Ohio Drive, Plano, Texas |
| Authorized Official Name and Position | Sunil Kumar Kottur (PRESIDENT) |
| Authorized Official Contact | 9726725663 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2301 Ohio Drive Suite 295 Plano TX 75093-3998 Ph: (972) 672-5663 | 2301 Ohio Drive Suite 295 Plano TX 75093-3998 Ph: (972) 672-5663 |
| NPI Number | 1174776165 |
|---|---|
| Provider Enumeration Date | 11/04/2008 |
| Last Update Date | 04/17/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174776165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | K5136 (Texas) | Primary |
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