Individual
DR. PURAV MODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.B.B.S
Contact information
Practice address
6201 HARRY HINES BLVD, DALLAS, TX 75390-7708
(214) 633-5555
Mailing address
PO BOX 845347, DALLAS, TX 75284-7208
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
Q4812
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2012
Last updated
11/05/2021
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