Organization
BIOSKY MEDICAL CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SURAPHANDHU SRIVATHANAKUL M.D., F. A. A. P. (CEO)
(972) 820-6660
Entity
Organization
Contact information
Practice address
1927 E BELT LINE RD, SUITE 146, CARROLLTON, TX 75006-5821
(972) 820-6660
(972) 820-6631
Mailing address
1927 E BELT LINE RD, SUITE 146, CARROLLTON, TX 75006-5821
(972) 820-6660
(972) 820-6631
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
E7288
TX
Other
Enumeration date
09/16/2010
Last updated
09/16/2010
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