Individual
DAISY THOMAS-GOBALAKRISHNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
400 MID CITIES BLVD, HURST, TX 76054-2430
(817) 428-7300
Mailing address
PO BOX 9101, COPPELL, TX 75019-9494
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M0946
TX
Other
Enumeration date
07/17/2006
Last updated
09/17/2013
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