Individual
LUDOVIC PONIVADH PAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12222 MERIT DR STE 600, DALLAS, TX 75251-3294
(972) 715-5000
Mailing address
12222 MERIT DR STE 600, DALLAS, TX 75251-3294
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
U9049
TX
Other
Enumeration date
04/02/2020
Last updated
06/28/2024
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