Individual
DURGA P. NELAPOLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2821 LACKLAND RD STE 216, FORT WORTH, TX 76116-4193
(817) 378-3640
(817) 740-8516
Mailing address
PO BOX 961205, FORT WORTH, TX 76161-0205
(817) 740-8400
(817) 740-8516
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
N1013
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201347603
—
TX
Enumeration date
09/23/2006
Last updated
11/04/2013
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