| Vijaya Nama Md Pa | |
|
407 W Interstate 30 Garland TX 75043-5912 | |
| (972) 303-3000 | |
| (972) 303-3003 |
| Full Name | Vijaya Nama Md Pa |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 407 W Interstate 30, Garland, Texas |
| Authorized Official Name and Position | Vijaya Nama (OWNER) |
| Authorized Official Contact | 9723033000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vijaya Nama Md Pa 407 W Interstate 30 Garland TX 75043-5912 Ph: (972) 303-3000 | Vijaya Nama Md Pa 407 W Interstate 30 Garland TX 75043-5912 Ph: (972) 303-3000 |
| NPI Number | 1073520177 |
|---|---|
| Provider Enumeration Date | 08/02/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073520177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | L7821 (Texas) | Primary |
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