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Organization
METRO ENT, P.A.
Active
Organization
METRO ENT, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEETHA SUBRAMANIAN MD (PHYSICIAN OWNER)
(214) 404-6409
Entity
Organization
Contact information
Practice address
4800 N GALLOWAY AVE, SUITE 100, MESQUITE, TX 75150
(214) 404-6409
Mailing address
4800 N GALLOWAY AVE, SUITE 100, MESQUITE, TX 75150
(214) 404-6409
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
M7666
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193137001
—
TX
01
—
19QW
BCBS GROUP NUMBER
TX
Enumeration date
10/03/2007
Last updated
06/03/2021
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