Individual
MRS. JAYASHREE N GORREPATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4041 W WHEATLAND RD, 156 343, DALLAS, TX 75237-4064
(972) 223-7878
(972) 283-0284
Mailing address
4041 W WHEATLAND RD, 156 343, DALLAS, TX 75237-4064
(972) 223-7878
(972) 283-0284
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G9593
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046055203
—
TX
Enumeration date
12/07/2005
Last updated
01/29/2016
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