Individual
CHRISTINE GRACE MANTHURUTHIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(214) 590-8000
Mailing address
7100 E BELLEVIEW SUITE G10, DALLAS, TX 75390-1634
(303) 773-3675
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
DR.0073044
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2017
Last updated
06/14/2024
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