Organization
SUKUMAR MHT PLLC
Active
Organization
SUKUMAR MHT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATHA SUKUMAR M.D. (OWNER)
(254) 519-3131
Entity
Organization
Contact information
Practice address
2301 S CLEAR CREEK RD, SUITE 112, KILLEEN, TX 76549-4143
(254) 519-3131
(254) 519-3133
Mailing address
2301 S CLEAR CREEK RD, SUITE 112, KILLEEN, TX 76549-4143
(254) 519-3131
(254) 519-3133
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
J3626
TX
Other
Enumeration date
07/10/2012
Last updated
07/10/2012
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