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Organization
OLD MCDONALD HEALTH CARE SERVICES PA
Active
Organization
OLD MCDONALD HEALTH CARE SERVICES PA
Active
Other names
Daffodil Primary Care and Cardio-Renal Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
HARISH NUTHAKKI MD (OWNER)
(810) 513-7501
Entity
Organization
Contact information
Practice address
4300 PUNJAB WAY STE 160, FRISCO, TX 75033-0382
(469) 649-9968
(469) 649-9969
Mailing address
PO BOX 140306, IRVING, TX 75014-0306
(469) 649-9968
(469) 649-9969
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
Other
Enumeration date
02/01/2024
Last updated
03/22/2024
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