Organization
NAGA S TRIPURANENI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANA P RICKS (CREDENTIALLING COORDINATOR)
(903) 465-1857
Entity
Organization
Contact information
Practice address
1014 MEMORIAL DR STE G12, DENISON, TX 75020-2090
(903) 465-1857
(903) 327-8023
Mailing address
PO BOX 2275, DENISON, TX 75021-2275
(903) 465-1857
(903) 327-8023
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L8985
TX
Other
Enumeration date
11/02/2006
Last updated
08/22/2020
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