Individual
DR. JYOTSNA KUPPANNAGARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
201 WYNGATE BLVD, SUITE 830, PLANO, TX 75074
(469) 573-0020
(469) 457-6569
Mailing address
612 MOCKINGBIRD DR, MURPHY, TX 75094-3842
(469) 573-0020
(469) 457-6569
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
Q2680
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
349806501
—
TX
Enumeration date
08/15/2012
Last updated
01/26/2026
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