Organization
VIJAYA NAMA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIJAYA NAMA M.D. (OWNER)
(972) 303-3000
Entity
Organization
Contact information
Practice address
407 W INTERSTATE 30, GARLAND, TX 75043-5912
(972) 303-3000
(972) 303-3003
Mailing address
407 W INTERSTATE 30, GARLAND, TX 75043-5912
(972) 303-3000
(972) 303-3003
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
L7821
TX
Other
Enumeration date
08/02/2006
Last updated
08/22/2020
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