Individual
DR. KISHORI VENKATA LAXMI SOMYREDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1110 COTTONWOOD LN STE 205, IRVING, TX 75038-6111
(214) 727-8900
Mailing address
1110 COTTONWOOD LN STE 205, IRVING, TX 75038-6111
(214) 727-8900
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
R9692
TX
2084N0400X
Neurology Physician
14852
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30209662
—
NH
Enumeration date
04/20/2007
Last updated
04/13/2020
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