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Organization
DFW SPORTS MEDICINE, PLLC
Active
Organization
DFW SPORTS MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RATHNA NUTI MD (PHYSICIAN)
(214) 738-6169
Entity
Organization
Contact information
Practice address
4833 MEDICAL CENTER DR STE 6E, MCKINNEY, TX 75069-1898
(469) 430-9380
(469) 242-9539
Mailing address
239 GLEN RIDGE DR, MURPHY, TX 75094-4206
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
12/07/2020
Last updated
02/10/2021
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