Individual
PRASANTHI JASTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
2727 BOLTON BOONE DR STE 109, DESOTO, TX 75115-2019
(972) 283-2370
(972) 296-0311
Mailing address
2727 BOLTON BOONE DR STE 109, DESOTO, TX 75115-2019
(972) 283-2370
(972) 296-0311
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
P-20357
MD
207RI0200X
Infectious Disease Physician
Primary
Q3023
TX
Other
Enumeration date
05/23/2008
Last updated
06/10/2015
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