Organization
JUPITER MEDICAL SERVICES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRAKASH MALVIYA MD (MEMBER)
(214) 660-1833
Entity
Organization
Contact information
Practice address
3453 SAINT FRANCIS AVE, SUITE 100, DALLAS, TX 75228-7199
(214) 660-1833
(214) 324-5229
Mailing address
3453 SAINT FRANCIS AVE, SUITE 100, DALLAS, TX 75228-7199
(214) 660-1833
(214) 324-5229
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
M6739
TX
Other
Enumeration date
05/16/2011
Last updated
05/16/2011
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