Organization
KESTURKOPPAL MURALIDHARA MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KESTURKOPPAL MURALIDHARA II MD (MD/PRESIDENT)
(956) 225-2401
Entity
Organization
Contact information
Practice address
300 S 2ND ST, STE. 105-B, MCALLEN, TX 78501-2702
(956) 225-2401
(888) 794-8753
Mailing address
300 S 2ND ST, STE. 105-B, MCALLEN, TX 78501-2702
(956) 225-2401
(888) 794-8753
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164866455
—
TX
05
—
215664802
—
TX
05
—
296117901
—
TX
05
—
296117902
—
TX
Enumeration date
04/17/2013
Last updated
08/11/2016
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