Individual
SUBHRA JIT MOOKERJEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
411 N WASHINGTON AVE STE 7300, DALLAS, TX 75246
(214) 820-7140
(214) 820-7150
Mailing address
411 N WASHINGTON AVE STE 7300, DALLAS, TX 75246-1751
(214) 820-7140
(214) 820-7150
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
5101016075
MI
208100000X
Physical Medicine & Rehabilitation Physician
Primary
TX17140
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578739249
—
MI
05
—
3311201-01
—
TX
Enumeration date
05/02/2008
Last updated
10/17/2022
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