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Organization
PSMD MEDICAL GROUP PLLC
Active
Organization
PSMD MEDICAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DURGA PRASAD MEKALA M.D (DIRECTOR)
(817) 987-1414
Entity
Organization
Contact information
Practice address
3132 MATLOCK RD, SUITE 311, ARLINGTON, TX 76015-2910
(817) 987-1414
(817) 987-1425
Mailing address
8912 WOODWAY DR, IRVING, TX 75063-4480
(817) 987-1414
(817) 987-1425
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
N8039
TX
208000000X
Pediatrics Physician
Primary
P0385
TX
Other
Enumeration date
05/11/2015
Last updated
05/11/2015
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