Organization
DYNAL M LONDON PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DYNAL M LONDON MD (PRESIDENT)
(972) 412-1034
Entity
Organization
Contact information
Practice address
6900 SCENIC DR, 103, ROWLETT, TX 75088-2695
(972) 412-1034
(972) 475-5708
Mailing address
6900 SCENIC DR, 103, ROWLETT, TX 75088-2695
(972) 412-1034
(972) 475-5708
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
K2060
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83241S
BCBS ID
TX
01
—
G47098
UPIN
—
Enumeration date
08/21/2007
Last updated
08/21/2007
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