Individual
NIDHI PARSOTAM DOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
300A UNIVERSITY BLVD, ROUND ROCK, TX 78665
(512) 509-8800
(512) 439-1081
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-8800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA08184
TX
363AS0400X
Surgical Physician Assistant
Primary
PA08184
TX
Other
Enumeration date
01/29/2013
Last updated
01/07/2021
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