| Sumeesh Dhawan Mdpa | |
|
1211 Del Mar Dr Southlake TX 76092-3932 | |
| (817) 350-4698 | |
| Not Available |
| Full Name | Sumeesh Dhawan Mdpa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1211 Del Mar Dr, Southlake, Texas |
| Authorized Official Name and Position | Sumeesh Dhawan (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8174737197 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sumeesh Dhawan Mdpa 1211 Delmar Drive Southlake TX 76092-3932 Ph: (817) 350-4698 | Sumeesh Dhawan Mdpa 1211 Del Mar Dr Southlake TX 76092-3932 Ph: (817) 350-4698 |
| NPI Number | 1740525443 |
|---|---|
| Provider Enumeration Date | 12/06/2012 |
| Last Update Date | 05/01/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740525443 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | M1074 (Texas) | Primary |
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