Individual
PRATHUSHA MADURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2304 HIGHWAY 121, BEDFORD, TX 76021-5985
(214) 970-6817
(844) 803-4513
Mailing address
2637 N 400 E # 164, NORTH OGDEN, UT 84414-2240
(214) 970-6817
(844) 803-4513
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
OS021883
PA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
U2255
TX
Other
Enumeration date
02/16/2017
Last updated
02/23/2023
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