Organization
SOUTHWEST CARDIAC ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SRINIVAS R GUNUKULA M.D. (PRESIDENT)
(972) 226-0505
Entity
Organization
Contact information
Practice address
5308 NORTH GALLOWAY AVE, SUITE 100, MESQUITE, TX 75150
(972) 226-0505
(972) 289-9640
Mailing address
5308 N GALLOWAY AVE, SUITE 100, MESQUITE, TX 75150-1122
(972) 226-0505
(972) 289-9640
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
082116701
—
TX
Enumeration date
01/25/2006
Last updated
08/27/2014
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