Organization
SUMMIT GASTROENTEROLOGY PLLC
Active
Organization
SUMMIT GASTROENTEROLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUNITHA PUDHOTA MD (OWNER)
(682) 400-2153
Entity
Organization
Contact information
Practice address
309 REGENCY PKWY STE 101, MANSFIELD, TX 76063-5165
(682) 400-2153
(972) 572-2228
Mailing address
309 REGENCY PKWY STE 101, MANSFIELD, TX 76063-5165
(682) 400-2153
(972) 572-2228
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
P1484
TX
Other
Enumeration date
10/24/2013
Last updated
05/29/2019
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