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Organization

METRO GERIATRIC SERVICES PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VIJAYA SUDANAGUNTA M.D. (PRESIDENT)
(817) 659-5393
Entity
Organization

Contact information

Practice address
2804 FOX CREEK TRL, ARLINGTON, TX 76017-7960
(817) 659-5395
(817) 439-6767
Mailing address
2804 FOX CREEK TRL, ARLINGTON, TX 76017-7960
(817) 659-5395
(817) 439-6767

Taxonomy

Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary

Other

Enumeration date
08/09/2012
Last updated
08/09/2012
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