Organization
PRIYA SUBRAMANIAN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OBULAKSHMIPRIYA SUBRAMANIAN MD (OWNER)
(817) 916-8877
Entity
Organization
Contact information
Practice address
1615 HOSPITAL PKWY STE 200, BEDFORD, TX 76022-5935
(817) 916-8877
(817) 527-2969
Mailing address
1615 HOSPITAL PKWY STE 200, BEDFORD, TX 76022-5935
(817) 916-8877
(817) 527-2969
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
N2436
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N2436
TEXAS MEDICAL LICENSE
TX
Enumeration date
11/10/2016
Last updated
12/27/2023
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