Individual
DR. NEETA SOORYA BHAKTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2301 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
2301 S 31ST ST, TEMPLE, TX 76508-0001
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
BP10028456
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4693
—
TX
Enumeration date
05/23/2008
Last updated
01/30/2009
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