Organization
DFW PRIMARY CARE PLLC
Active
Other names
DFW Geriatrics PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUMANA KETHA MD (PRESIDENT)
(972) 639-5838
Entity
Organization
Contact information
Practice address
2925 SKYWAY CIR N, IRVING, TX 75038-3510
(972) 639-5838
(972) 791-8211
Mailing address
2925 SKYWAY CIR N, IRVING, TX 75038-3510
(972) 639-5838
(972) 791-8211
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
TX
Other
Enumeration date
01/23/2014
Last updated
02/04/2020
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