Organization
DOCCA MEDICAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMA KRISHNA VENKATA DOCCA MD (PRESIDENT)
(646) 796-7369
Entity
Organization
Contact information
Practice address
2304 HIGHWAY 121, BEDFORD, TX 76021-5985
(817) 684-2000
Mailing address
829 GIVERNY LN, SOUTHLAKE, TX 76092-1322
(646) 796-7369
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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