Organization
DURGA P. VEDATI, MDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DURGA PRASAD VEDATI M.D. (PRESIDENT)
(248) 787-6266
Entity
Organization
Contact information
Practice address
611 N MACARTHUR BLVD, SUITE 110, IRVING, TX 75061-7423
(248) 787-6266
(817) 993-1437
Mailing address
PO BOX 92994, SOUTHLAKE, TX 76092-0994
(248) 787-6266
(817) 993-1437
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
N2331
TX
Other
Enumeration date
07/10/2013
Last updated
11/21/2014
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