Organization
MAHENDRA MAHATMA, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JAYNE EZZELL (OFFICE MANAGER)
(972) 331-1590
Entity
Organization
Contact information
Practice address
6500 SIERRA DR, #170, IRVING, TX 75039-2480
(972) 331-1590
(972) 570-0779
Mailing address
6500 SIERRA DR, #170, IRVING, TX 75039-2480
(972) 331-1590
(972) 570-0779
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
H8739
TX
Other
Enumeration date
12/29/2011
Last updated
12/29/2011
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