Organization
DFW PRIMARY CARE PLLC
Active
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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