Individual
DR. GIRI D MUNDLURU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
844 PENNSYLVANIA AVE, STE 110, FORT WORTH, TX 76104-2223
(817) 336-4278
(817) 335-1650
Mailing address
844 PENNSYLVANIA AVE, SUITE 110, FORT WORTH, TX 76104-2223
(817) 336-4278
(817) 335-1650
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
H4026
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146634401
—
TX
Enumeration date
06/30/2005
Last updated
04/14/2020
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