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Organization
MERIDIAN PRIMARY CARE PLLC
Active
Organization
MERIDIAN PRIMARY CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUBHA RAJITHA DOMMARAJU MD (OWNER)
(510) 463-7717
Entity
Organization
Contact information
Practice address
5430 ABINGTON CREEK LN, SUGAR LAND, TX 77479-4382
(510) 463-7717
Mailing address
PO BOX 16008, SUGAR LAND, TX 77496-6008
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/09/2019
Last updated
07/13/2020
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