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Organization

DALLAS MEDICAL, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VIJAYA LAKSHMI-DEVI MUMMADI MD (PRESIDENT)
(469) 646-8880
Entity
Organization

Contact information

Practice address
9900 N CENTRAL EXPY STE 225, DALLAS, TX 75231-0918
(469) 646-8880
(469) 646-8884
Mailing address
9900 N CENTRAL EXPY STE 225, DALLAS, TX 75231-0918
(469) 646-8880
(469) 646-8884

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L8180
TX
261Q00000X
Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00Z907
MEDICARE
TX
Enumeration date
05/20/2008
Last updated
10/11/2019
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