Organization
SREEDEVI KODALI, M.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SREEDEVI KODALI M.D. (PRESIDENT)
(817) 868-1616
Entity
Organization
Contact information
Practice address
5209 HERITAGE AVE, SUITE 220, COLLEYVILLE, TX 76034-5987
(817) 868-1616
(817) 868-1617
Mailing address
5209 HERITAGE AVE, SUITE 220, COLLEYVILLE, TX 76034-5987
(817) 868-1616
(817) 868-1617
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
M6238
TX
Other
Enumeration date
11/16/2009
Last updated
02/02/2010
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