Individual
DIMPLE L SUREKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5323 HARRY HINES BLVD, MC 8591, DALLAS, TX 75390-8591
(214) 648-1100
(214) 648-1666
Mailing address
UTSW BILLING, P.O. BOX 845347, DALLAS, TX 75284-5347
(214) 645-0600
(214) 645-2762
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
N8353
TX
208000000X
Pediatrics Physician
N8353
TX
Other
Enumeration date
09/23/2007
Last updated
01/12/2012
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