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Organization
ROSHEALTH PRIMARYCARE PC
Active
Organization
ROSHEALTH PRIMARYCARE PC
Active
Other names
DFW primary care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DURGA RAM PRASAD TANNERU MD (PHYSICIAN)
(817) 718-0155
Entity
Organization
Contact information
Practice address
2612 HARWOOD RD STE A, BEDFORD, TX 76021-8308
(817) 718-0155
Mailing address
2612 HARWOOD RD STE A, BEDFORD, TX 76021-8308
(817) 718-0155
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
02/03/2022
Last updated
02/03/2022
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