Individual
EUGIENEO KANDOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13737 NOEL RD STE 1600, DALLAS, TX 75240-1374
(469) 642-5612
Mailing address
4233 SNOW GOOSE TRL, ARLINGTON, TX 76005-1166
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
S6654
TX
Other
Enumeration date
04/04/2017
Last updated
09/22/2020
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