Individual
DR. PRIYA VINOTHINI COLLURU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3913, WHEELER'S STREET, FORT WORTH, TX 76111
(682) 747-0111
(504) 941-8170
Mailing address
3913, WHEELER'S STREET, FORT WORTH, TX 76111
(682) 747-0111
(504) 941-8170
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
S-714
LA
Other
Enumeration date
04/29/2014
Last updated
08/24/2016
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