Organization
POTLURI SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SRINIVASA POTLURI MD (PHYSICIAN)
(469) 323-5050
Entity
Organization
Contact information
Practice address
1100 ALLIED DR, THE HEART HOSPITAL BAYLOR PLANO, PLANO, TX 75093-5348
(469) 323-5050
Mailing address
4531 NEWCASTLE DR, FRISCO, TX 75034-8404
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
01/23/2011
Last updated
01/23/2011
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