Individual
SOUMYA THIRUMOORTHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MDS
Contact information
Practice address
5733 S PADRE ISLAND DR, CORPUS CHRISTI, TX 78412-3918
(361) 853-1900
(361) 853-1904
Mailing address
5733 S PADRE ISLAND DR, CORPUS CHRISTI, TX 78412-3918
(361) 853-1900
(361) 853-1904
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
36572
TX
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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