Individual
DR. MANISHA GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3535 S I-35 E, DENTON, TX 76210-6850
(972) 758-3598
Mailing address
PO BOX 201606, DALLAS, TX 75320-1606
(972) 758-3523
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
L9223
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8K9267
BCBS
TX
01
—
P00321641
RAILROAD
TX
Enumeration date
12/16/2005
Last updated
11/08/2007
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