Individual
MEERA VISWANATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(214) 645-0624
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 645-0624
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA4455
MA
363AM0700X
Medical Physician Assistant
Primary
PA10245
TX
Other
Enumeration date
08/28/2012
Last updated
12/13/2015
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