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Individual

DR. PRIYA RANGASAMY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.,

Contact information

Practice address
909 9TH AVE STE 205, FORT WORTH, TX 76104-3916
(817) 877-0888
(817) 877-5039
Mailing address
7610 N STEMMONS FWY STE 600, DALLAS, TX 75247-4228
(214) 689-5960
(469) 713-8084

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
N5962
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
287626002
TX
01
8DK755
BCBSTX
TX
Enumeration date
07/10/2007
Last updated
02/05/2020
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