Organization
P RAJU INDUKURI MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. P RAJU INDUKURI M.D. (PA)
(817) 222-9907
Entity
Organization
Contact information
Practice address
2707 AIRPORT FWY, #206, FORT WORTH, TX 76111-2389
(817) 222-9907
(817) 222-9909
Mailing address
2707 AIRPORT FWY, #206, FORT WORTH, TX 76111-2389
(817) 222-9907
(817) 222-9909
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
H7433
TX
Other
Enumeration date
12/11/2007
Last updated
12/11/2007
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