Individual
LAXMI DEEPIKA KOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.,
Contact information
Practice address
118 LYNN AVE STE 500, LEWISVILLE, TX 75057-3705
(214) 888-0670
(469) 299-9080
Mailing address
3311 YUCCA DR, FLOWER MOUND, TX 75028-2743
(214) 888-0670
(469) 299-9080
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME105793
FL
207R00000X
Internal Medicine Physician
P0746
TX
207RG0100X
Gastroenterology Physician
ME105793
FL
207RG0100X
Gastroenterology Physician
Primary
P0746
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
225704
—
SC
Enumeration date
05/28/2006
Last updated
12/13/2020
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