Individual
DR. ARCHANA THOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
617 CLARA BARTON BLVD, STE 102, GARLAND, TX 75042-5761
(972) 485-4440
(972) 485-4443
Mailing address
2300 W FM 544, ST 220, WYLIE, TX 75098
(707) 666-3490
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L0950
TX
Other
Enumeration date
06/10/2005
Last updated
03/30/2020
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