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Thanuja D Chandrasena, DO
Family Medicine Physician in Grand Prairie, Texas
NPI 1780094458

Thanuja D Chandrasena is a Family Medicine Physician based in Grand Prairie, TX. Thanuja D Chandrasena practices in Grand Prairie, TX and has the professional credentials of DO. The NPI Number for Thanuja D Chandrasena is 1780094458 and holds a License No. (Texas).

The current practice location address for Thanuja D Chandrasena is 4927 Lake Ridge Pkwy Ste 100, Grand Prairie, TX and can be reached out via phone at 469-506-1671.

Location: 4927 Lake Ridge Pkwy Ste 100, Grand Prairie, TX, 75052-3060
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780094458
Provider Name
Thanuja D Chandrasena
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
4927 Lake Ridge Pkwy Ste 100, Grand Prairie, TX, 75052-3060
Phone Number
469-506-1671
Fax Number
Provider Enumeration Date
05/05/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
372918802 05 TX
372918801 05 TX
200716360A 05 OK
29234808 05 NM
institution
Provider Business Practice Location Address Details
Address
4927 Lake Ridge Pkwy Ste 100
City
Grand Prairie
State
Texas
Zip
75052-3060
Phone Number
469-506-1671
Fax Number
person
Provider Business Mailing Address Details
Address
4927 Lake Ridge Pkwy Ste 100
City
Grand Prairie
State
Texas
Zip
75052-3060
Phone Number
469-506-1671
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
R3046 (Texas)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Texas)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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