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Organization
MHYA CLINIC PLLC
Active
Organization
MHYA CLINIC PLLC
Active
Other names
Mhya Clinic Pllc
Organization subpart
No
Provider details
NPI number
Authorized official
HARITHA MIKKILINENI MD (OWNER)
(817) 583-0575
Entity
Organization
Contact information
Practice address
420 N KIMBALL AVE STE 140, SOUTHLAKE, TX 76092-6995
(817) 583-0575
Mailing address
420 N KIMBALL AVE STE 140, SOUTHLAKE, TX 76092-6995
(817) 583-0575
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/06/2023
Last updated
09/13/2023
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