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Organization
SUMEESH DHAWAN MDPA
Active
Organization
SUMEESH DHAWAN MDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUMEESH DHAWAN MD (MEDICAL DIRECTOR)
(817) 473-7197
Entity
Organization
Contact information
Practice address
1211 DEL MAR DR, SOUTHLAKE, TX 76092-3932
(817) 350-4698
Mailing address
1211 DELMAR DRIVE, SOUTHLAKE, TX 76092-3932
(817) 350-4698
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M1074
TX
Other
Enumeration date
12/06/2012
Last updated
05/01/2015
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