Individual
SURESH MARGASSERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2811 DUKE OF GLOUCESTER ST, SUITE 103, DESOTO, TX 75115
(972) 274-5555
(972) 274-5663
Mailing address
2811 DUKE OF GLOUCESTER ST, SUITE 103, DESOTO, TX 75115
(972) 274-5555
(972) 274-5663
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
M0162
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173548201
—
TX
Enumeration date
07/02/2006
Last updated
08/25/2011
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