Organization
SOUTHWEST FSED PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRASADA NALLURI M.D. (PRESIDENT)
(972) 527-3000
Entity
Organization
Contact information
Practice address
7940 CUSTER RD, PLANO, TX 75025-3179
(972) 527-3000
Mailing address
7940 CUSTER RD, PLANO, TX 75025-3179
(972) 527-3000
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/18/2015
Last updated
06/28/2016
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