Individual
DR. VIJAYAVALLI LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
700 WALTER REED BLVD, SUITE 204, GARLAND, TX 75042-5743
(972) 487-5462
(972) 487-5277
Mailing address
700 WALTER REED BLVD, SUITE 204, GARLAND, TX 75042-3701
(972) 487-5462
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M8798
TX
208M00000X
Hospitalist Physician
Primary
M8798
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00813405 CD6866
MEDICARE RAILROAD
TX
Enumeration date
01/29/2008
Last updated
06/07/2010
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