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Organization

STAR MD OF ARLINGTON PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SRIKANTH JYOTHINAGARAM MD (PRESIDENT)
(248) 376-9822
Entity
Organization

Contact information

Practice address
9440 POPPY DR, DALLAS, TX 75218-3652
(214) 324-6100
Mailing address
2201 LONG PRAIRIE RD STE 107, FLOWER MOUND, TX 75022-4964
(248) 376-9822

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician

Other

Enumeration date
11/29/2023
Last updated
01/19/2024
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