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Individual

DR. RAHUL MISHRA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
4040 LEGACY DR STE 204, FRISCO, TX 75034-6748
(469) 269-1060
(469) 269-1064
Mailing address
4040 LEGACY DR STE 204, FRISCO, TX 75034-6748
(630) 207-0999
(469) 269-1064

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
BP10034008
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
P9653
TX

Other

Enumeration date
06/21/2009
Last updated
12/18/2017
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