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Viji Koduvath
Family Nurse Practitioner in Garland, Texas
NPI 1083083364

Viji Koduvath is a Family Nurse Practitioner based in Garland, TX and is specialized in Family. Viji Koduvath practices in Garland, TX. The NPI Number for Viji Koduvath is 1083083364 and holds a License No. AP128758 (Texas).

The current practice location address for Viji Koduvath is 1837 N Garland Ave, Garland, TX and can be reached out via phone at 469-432-4107.

Location: 1837 N Garland Ave, Garland, TX, 75040-4561
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083083364
Provider Name
Viji Koduvath
Credential
Provider Entity Type
Individual
Gender
Female
Address
1837 N Garland Ave, Garland, TX, 75040-4561
Phone Number
469-432-4107
Fax Number
Provider Enumeration Date
09/17/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
355703501 05 TX
institution
Provider Business Practice Location Address Details
Address
1837 N Garland Ave
City
Garland
State
Texas
Zip
75040-4561
Phone Number
469-432-4107
Fax Number
person
Provider Business Mailing Address Details
Address
1837 N Garland Ave
City
Garland
State
Texas
Zip
75040-4561
Phone Number
469-432-4107
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
AP128758 (Texas)
Definition
Definition to come...
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