Individual
AFIA UMBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
809 S MACARTHUR BLVD STE 400, COPPELL, TX 75019-4261
(469) 498-2000
(469) 498-3000
Mailing address
3507 UNIVERSITY PARK LN, IRVING, TX 75062-6590
(469) 498-2000
(469) 498-3000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
N1932
TX
207RN0300X
Nephrology Physician
Primary
N1932
TX
208M00000X
Hospitalist Physician
N1932
TX
Other
Enumeration date
10/03/2008
Last updated
08/05/2025
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