Organization
VIRTX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
UMAMAHESWARI CHETHANA MUKKAMALLA MD (SURROGATE)
(305) 469-9852
Entity
Organization
Contact information
Practice address
13284 BIGELOW LN, FRISCO, TX 75035-0782
(305) 469-9852
Mailing address
13284 BIGELOW LN, FRISCO, TX 75035-0782
(305) 469-9852
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
02/08/2019
Last updated
02/08/2019
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