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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