Individual
DR. PURNIMA L BACKLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
735 LION LAKE DR S, PROGRESO LAKES, TX 78596-8387
(956) 581-0303
Mailing address
735 LION LAKE DR S, PROGRESO LAKES, TX 78596-8387
(956) 581-0303
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
H7382
TX
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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