Organization
KETAKI B. DAVE, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KETAKI B DAVE M.D. (OWNER)
(940) 387-2555
Entity
Organization
Contact information
Practice address
3200 COLORADO BLVD, SUITE #101, DENTON, TX 76210-6874
(940) 387-2555
Mailing address
3200 COLORADO BLVD, SUITE #101, DENTON, TX 76210-6874
(940) 387-2555
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
J1645
TX
Other
Enumeration date
01/07/2009
Last updated
01/07/2009
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