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Organization

BREAST DIAGNOSTICS , PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PRIYA VENUGOPAL MD (PRESIDENT)
(940) 483-9550
Entity
Organization

Contact information

Practice address
2817 S MAYHILL RD, STE 270, DENTON, TX 76208-5966
(940) 483-9500
(940) 483-9550
Mailing address
1545 E SOUTHLAKE BLVD, STE 200, SOUTHLAKE, TX 76092-6422
(817) 749-2000
(817) 749-2000

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L5600
TX

Other

Enumeration date
06/15/2007
Last updated
08/22/2020
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