Organization
STEP UP SPORTS MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAGA SAI VENKATA H MADHAVAPEDDI MD (OWNER)
(817) 668-3222
Entity
Organization
Contact information
Practice address
3020 CORPORATE CT STE 400, FLOWER MOUND, TX 75028-5617
(817) 668-3222
(817) 668-3200
Mailing address
3020 CORPORATE CT STE 400, FLOWER MOUND, TX 75028-5617
(817) 668-3222
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
07/21/2023
Last updated
07/24/2023
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