Individual
PRAVINA SRINIVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, MLS
Contact information
Practice address
614 MELROSE CT, SOUTHLAKE, TX 76092-7120
(817) 680-8061
Mailing address
614 MELROSE CT, SOUTHLAKE, TX 76092-7120
(817) 680-8061
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
TX
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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