Organization
RAJ.SHIWACH, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PHUONG NGUYEN (CONTRACT SPECIALIST)
(214) 682-8208
Entity
Organization
Contact information
Practice address
941 YORK DR, 205, DESOTO, TX 75115-2065
(214) 682-8208
Mailing address
1008 YORK DRIVE, DESOTO, TX 75115-2065
(214) 682-8208
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
01/02/2009
Last updated
01/02/2009
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