Individual
DR. SUDIP K BOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9229 LBJ FWY, DALLAS, TX 75243-3405
(972) 739-3710
Mailing address
9229 LBJ FWY, DALLAS, TX 75243-3405
(972) 739-3710
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
L5682
TX
Other
Enumeration date
04/12/2006
Last updated
03/31/2009
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