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Individual

DR. EASWAR M SUNDARAM JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
321 N HIGHLAND AVE, SUITE 210, SHERMAN, TX 75092-7378
(903) 893-5141
(903) 893-5891
Mailing address
321 N HIGHLAND AVE, SUITE 210, SHERMAN, TX 75092-7378
(903) 893-5141
(903) 893-5891

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
H5637
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100153100
OK
05
114132703
TX
01
130004886
RAILROAD MEDICARE
TX
01
83Z011
BLUE CROSS
TX
Enumeration date
07/10/2005
Last updated
08/11/2011
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