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Organization

REKHA POLE ASSOCIATES P A

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SARA NELSON (PRACTICE ADMINISTRATOR)
(214) 369-5522
Entity
Organization

Contact information

Practice address
16901 DALLAS PKWY, SUITE 106, ADDISON, TX 75001-5226
(214) 369-5522
(214) 369-5327
Mailing address
16901 DALLAS PKWY, SUITE 106, ADDISON, TX 75001-5226
(214) 369-5522
(214) 369-5327

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
G5490
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
098059101
TX
Enumeration date
01/15/2010
Last updated
10/31/2016
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