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Vijaya Nama Md Pa
Primary Care Clinic/Center in Garland, Texas
NPI 1073520177

Vijaya Nama Md Pa is a Primary Care Clinic/Center based in Garland, TX and is specialized in Primary Care. Vijaya Nama Md Pa practices in Garland, TX. The NPI Number for Vijaya Nama Md Pa is 1073520177 and holds a License No. L7821 (Texas).

The current practice location address for Vijaya Nama Md Pa is 407 W Interstate 30, Garland, TX and can be reached out via phone at 972-303-3000 and via fax at 972-303-3003.

Location: 407 W Interstate 30, Garland, TX, 75043-5912
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073520177
Provider Name
Vijaya Nama Md Pa
Credential
Provider Entity Type
Organization
Address
407 W Interstate 30, Garland, TX, 75043-5912
Phone Number
972-303-3000
Fax Number
972-303-3003
Provider Enumeration Date
08/02/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
407 W Interstate 30
City
Garland
State
Texas
Zip
75043-5912
Phone Number
972-303-3000
Fax Number
972-303-3003
person
Provider Business Mailing Address Details
Address
407 W Interstate 30
City
Garland
State
Texas
Zip
75043-5912
Phone Number
972-303-3000
Fax Number
972-303-3003
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
L7821 (Texas)
Definition
Definition to come...
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