Individual
MR. VICHA SIRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4325 N JOSEY LN, STE 111, CARROLLTON, TX 75010-4635
(972) 492-5000
(972) 394-5909
Mailing address
4325 N JOSEY LN, STE 111, CARROLLTON, TX 75010-4636
(972) 492-5000
(972) 394-5909
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G9805
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
097524501
—
TX
01
—
4057638
AETNA
TX
Enumeration date
03/01/2006
Last updated
03/07/2016
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