Shital Chavda M.d., Pllc | |
4214 Gateway Dr Ste 100 Colleyville TX 76034-7906 | |
(352) 514-2269 | |
Not Available |
Full Name | Shital Chavda M.d., Pllc |
---|---|
Speciality | Family Medicine |
Location | 4214 Gateway Dr Ste 100, Colleyville, Texas |
Authorized Official Name and Position | Shital Chavda (SOLE MEMBER) |
Authorized Official Contact | 3525142269 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Shital Chavda M.d., Pllc Po Box 630221 Irving TX 75063-0115 Ph: (352) 514-2269 | Shital Chavda M.d., Pllc 4214 Gateway Dr Ste 100 Colleyville TX 76034-7906 Ph: (352) 514-2269 |
NPI Number | 1336968098 |
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Provider Enumeration Date | 10/08/2024 |
Last Update Date | 11/03/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336968098 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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