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Organization
MID-CITIES INTERNAL MEDICINE, P.A.
Active
Organization
MID-CITIES INTERNAL MEDICINE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VANDANA MADDALI M.D. (OWNER/CEO)
(214) 282-3188
Entity
Organization
Contact information
Practice address
6703 CAPISTRANO ST, IRVING, TX 75039-4339
(214) 282-3188
Mailing address
6703 CAPISTRANO ST, IRVING, TX 75039-4339
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
N4565
TX
Other
Enumeration date
07/30/2013
Last updated
07/30/2013
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