# VIRTX LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922563410
- **Authorized official:** UMAMAHESWARI CHETHANA MUKKAMALLA MD (SURROGATE)
- **Authorized official phone:** (305) 469-9852

## Contact information

- **Practice address:** 13284 BIGELOW LN, FRISCO, TX 75035-0782
- **Practice address phone:** (305) 469-9852
- **Mailing address:** 13284 BIGELOW LN, FRISCO, TX 75035-0782
- **Mailing address phone:** (305) 469-9852

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/08/2019
- **Last updated:** 02/08/2019