Organization
EXCEL PHYSICIANS GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONALISA MITRA DO (OWNER)
(214) 641-8578
Entity
Organization
Contact information
Practice address
4100 HERITAGE AVE, SUITE 102, GRAPEVINE, TX 76051-5714
(817) 283-1112
(817) 283-1116
Mailing address
4100 HERITAGE AVE, SUITE 102, GRAPEVINE, TX 76051-5714
(817) 283-1112
(817) 283-1116
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M4363
TX
Other
Enumeration date
05/08/2013
Last updated
03/04/2014
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