Saji Pillai M.d., Pa | |
2400 Ridgecrest Dr Southlake TX 76092-2602 | |
(469) 546-5412 | |
(469) 574-5476 |
Full Name | Saji Pillai M.d., Pa |
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Speciality | Internal Medicine |
Location | 2400 Ridgecrest Dr, Southlake, Texas |
Authorized Official Name and Position | Saji Pillai (CEO) |
Authorized Official Contact | 4695465412 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Saji Pillai M.d., Pa Po Box 93837 Southlake TX 76092-0117 Ph: (469) 546-5412 | Saji Pillai M.d., Pa 2400 Ridgecrest Dr Southlake TX 76092-2602 Ph: (469) 546-5412 |
NPI Number | 1457726812 |
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Provider Enumeration Date | 12/09/2015 |
Last Update Date | 12/09/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457726812 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | M2753 (Texas) | Primary |
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