Organization
MUDDAMALLE J AUGUSTINE MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUDDAMALLE J AUGUSTINE MD (PRESIDENT)
(817) 861-6464
Entity
Organization
Contact information
Practice address
912 WRIGHT ST, SUITE E, ARLINGTON, TX 76012-4759
(817) 861-6464
(817) 861-7900
Mailing address
912 WRIGHT ST, SUITE E, ARLINGTON, TX 76012-4759
(817) 861-6464
(817) 861-7900
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
G6261
TX
Other
Enumeration date
11/30/2011
Last updated
11/30/2011
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