Organization
MIDLOTHIAN PRIMARY CARE DOCTORS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PANNABEN NANGHA M.D. (OWNER/PROVIDER)
(871) 477-5884
Entity
Organization
Contact information
Practice address
221 REGENCY PARKWAY, SUITE 125, MANSFIELD, TX 76063-0000
(817) 477-5884
Mailing address
661 E MAIN ST, SUITE #900, MIDLOTHIAN, TX 76065-3340
(817) 477-5884
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
07/17/2015
Last updated
11/23/2015
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