Organization
MID CITY HEALTH CARE CLINIC PLLC
Active
Organization
MID CITY HEALTH CARE CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VISHNU MAYA UPADHYAY (OWNER)
(817) 283-4438
Entity
Organization
Contact information
Practice address
350 WESTPARK WAY STE 223, EULESS, TX 76040-3758
(817) 283-4438
(817) 283-1792
Mailing address
5407 LOWRIE RD, COLLEYVILLE, TX 76034
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/03/2023
Last updated
07/25/2024
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