Individual
ARCHANA MIKKILINENI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.B.B.S
Contact information
Practice address
302 W RECTOR ST, SAN ANTONIO, TX 78216-5718
(210) 358-0800
(210) 358-0850
Mailing address
PO BOX 734812, DALLAS, TX 75373-4812
(210) 358-9500
(210) 358-9183
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
Q0509
TX
Other
Enumeration date
07/05/2011
Last updated
02/01/2021
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