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Organization

METRO ENT, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GEETHA SUBRAMANIAN MD (PHYSICIAN OWNER)
(214) 404-6409
Entity
Organization

Contact information

Practice address
4800 N GALLOWAY AVE, SUITE 100, MESQUITE, TX 75150
(214) 404-6409
Mailing address
4800 N GALLOWAY AVE, SUITE 100, MESQUITE, TX 75150
(214) 404-6409

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
M7666
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
193137001
TX
01
19QW
BCBS GROUP NUMBER
TX
Enumeration date
10/03/2007
Last updated
06/03/2021
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