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Organization

SOLARA MEDICAL GROUP PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VIVEK SASTRY DO (OWNER)
(972) 372-1663
Entity
Organization

Contact information

Practice address
850 CENTRAL PKWY E, SUITE 275, PLANO, TX 75074-5561
(972) 372-1663
Mailing address
850 CENTRAL PKWY E, SUITE 275, PLANO, TX 75074-5561
(972) 372-1663

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
207RP1001X
Pulmonary Disease Physician
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Enumeration date
11/25/2014
Last updated
11/25/2014
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