Individual
DAXABEN J KOTHIYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4740 W MOCKINGBIRD LN STE 100B, DALLAS, TX 75209-5208
(214) 350-2900
Mailing address
4740 W MOCKINGBIRD LN STE 100B, DALLAS, TX 75209-5208
(214) 350-2900
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
69947
TX
Other
Enumeration date
04/12/2022
Last updated
09/28/2024
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