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Organization

S IYER PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SRIDHAR K IYER MD (MD/OWNER)
(940) 565-0373
Entity
Organization

Contact information

Practice address
802 NORTH BONNIE BRAE STREET, SUITE 104, DENTON, TX 76201-2301
(940) 565-0373
(940) 565-0413
Mailing address
PO BOX 50658, DENTON, TX 76206-0658
(940) 565-0373
(940) 565-0413

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
207RP1001X
Pulmonary Disease Physician
Primary
207RS0012X
Sleep Medicine (Internal Medicine) Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
213642601
TX
Enumeration date
01/21/2010
Last updated
03/28/2016
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