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Organization

BEACON CARDIOLOGY, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NEETA BAVIKATI MD (DIRECTOR)
(972) 322-2055
Entity
Organization

Contact information

Practice address
5757 WARREN PKWY STE 208, FRISCO, TX 75034-4274
(214) 556-5351
Mailing address
5757 WARREN PKWY STE 208, FRISCO, TX 75034-4274
(214) 556-5351

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
L1266
TX
207RC0000X
Cardiovascular Disease Physician
Primary
P1020
TX

Other

Enumeration date
04/08/2014
Last updated
10/01/2015
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