Organization
NORTH TEXAS RHEUMATOLOGY PA
Active
Organization
NORTH TEXAS RHEUMATOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. POOJA BANERJEE MD (OWNER / DIRECTOR / PHYSICIAN)
(469) 916-0677
Entity
Organization
Contact information
Practice address
8220 WALNUT HILL LN STE 414, DALLAS, TX 75231-4417
(469) 916-0677
Mailing address
8220 WALNUT HILL LN STE 414, DALLAS, TX 75231-4417
(469) 916-0677
(214) 716-5283
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
M2255
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0A5838
GROUP MEDICARE NUMBER
—
Enumeration date
09/21/2009
Last updated
07/21/2022
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