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Organization
NORTH DALLAS PRIMARY CARE DOCTORS PLLC
Active
Organization
NORTH DALLAS PRIMARY CARE DOCTORS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUCHITRA RAO KAMINENI MD (PRESIDENT)
(214) 705-3728
Entity
Organization
Contact information
Practice address
8795 PRESTON TRACE BLVD STE 100, FRISCO, TX 75033-3010
(214) 705-3728
(214) 308-9464
Mailing address
8795 PRESTON TRACE BLVD STE 100, FRISCO, TX 75033-3010
(214) 705-3728
(214) 308-9464
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
P0418
TX
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
208000000X
Pediatrics Physician
—
—
2080N0001X
Neonatal-Perinatal Medicine Physician
—
—
Other
Enumeration date
08/28/2017
Last updated
06/27/2024
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