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Organization
GONNALAGADDA PLLC
Active
Organization
GONNALAGADDA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SREERAM GONNALAGADDA M.D. (OWNER/MANAGER)
(469) 850-1432
Entity
Organization
Contact information
Practice address
5140 LEGENDARY DR STE 100, FRISCO, TX 75034-9042
(469) 850-1432
Mailing address
5140 LEGENDARY DR STE 100, FRISCO, TX 75034-9042
(469) 850-1432
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
Q2446
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3566481
—
TX
Enumeration date
07/07/2015
Last updated
10/25/2024
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