Organization
COOPER FAMILY PRACTICE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DURGA PRASAD MEKALA MD (OWNER)
(817) 899-0721
Entity
Organization
Contact information
Practice address
3600 S COOPER ST STE 120, ARLINGTON, TX 76015-3406
(817) 987-1414
(817) 987-1425
Mailing address
945 DEFOREST RD, COPPELL, TX 75019-2740
(469) 442-9132
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
Other
Enumeration date
02/02/2023
Last updated
01/11/2024
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