Individual
DR. SARITHA DODLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4400 HERITAGE TRACE PKWY STE 208, FORT WORTH, TX 76244-8902
(817) 518-9005
(817) 518-9015
Mailing address
4400 HERITAGE TRACE PKWY STE 208, FORT WORTH, TX 76244-8902
(817) 518-9005
(817) 518-9015
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
N8643
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3382889-01
—
TX
Enumeration date
10/03/2006
Last updated
04/26/2023
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