Organization
NANGHA MD PLLC
Active
Other names
Mansfield Pediatric Care Doctors
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAITANYA B CHAVDA MD (DIRECTOR)
(214) 207-4805
Entity
Organization
Contact information
Practice address
309 REGENCY PKWY, SUITE 107, MANSFIELD, TX 76063-5165
(817) 477-5884
(877) 613-9101
Mailing address
309 REGENCY PKWY, SUITE 107, MANSFIELD, TX 76063-5165
(817) 477-5884
(877) 613-9101
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
N8773
TX
261QP2300X
Primary Care Clinic/Center
N8959
TX
Other
Enumeration date
07/09/2012
Last updated
08/24/2012
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