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Organization
RAVI K. MOOTHA, M.D., P.A.
Active
Organization
RAVI K. MOOTHA, M.D., P.A.
Active
Other names
North Texas Urology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAVI KANTH MOOTHA M.D. (PRESIDENT)
(214) 514-8480
Entity
Organization
Contact information
Practice address
2821 E PRESIDENT GEORGE BUSH HWY, SUITE 305, RICHARDSON, TX 75082-4266
(972) 235-3248
(972) 235-3984
Mailing address
2821 E PRESIDENT GEORGE BUSH HWY, SUITE 305, RICHARDSON, TX 75082-4266
(972) 235-3248
(972) 235-3984
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
L7054
TX
Other
Enumeration date
03/16/2009
Last updated
09/20/2009
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