Organization
COBRA TIGER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAKESH GUPTA MD (OWNER/PHYSICIAN)
(214) 202-9681
Entity
Organization
Contact information
Practice address
1351 W PRESIDENT GEORGE BUSH HWY, RICHARDSON, TX 75080-1133
(214) 202-8235
Mailing address
PO BOX 41, MUNCIE, IN 47308-0041
(765) 284-0493
(765) 284-2434
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
04/28/2017
Last updated
04/28/2017
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