Organization
HARISH MUNISWAMY MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARISH MUNISWAMY MD (PRESIDENT & CEO)
(646) 894-0807
Entity
Organization
Contact information
Practice address
762 CHALAIS CT, COPPELL, TX 75019-4589
(646) 894-0807
Mailing address
762 CHALAIS CT, COPPELL, TX 75019-4589
(646) 894-0807
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
N0300
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N0300
LICENSE
TX
Enumeration date
01/15/2015
Last updated
01/15/2015
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