Organization
ELANGO VINJIRAYER, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL BOETH (BILLING MANAGER)
(682) 237-7032
Entity
Organization
Contact information
Practice address
4235 HOLLAND AVE APT C, DALLAS, TX 75219-5913
(214) 329-1281
(817) 622-8068
Mailing address
4235 HOLLAND AVE APT C, DALLAS, TX 75219-5913
(214) 329-1281
(817) 622-8068
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
N4184
TX
Other
Enumeration date
01/14/2013
Last updated
01/14/2013
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