Mesquite Regional Internal Medicine

NPI #1144516212 in Mesquite, Texas

Provider Information

NPI Number: 1144516212
Entity Type: Organization
Organization Name: Mesquite Regional Internal Medicine
Primary Specialty: Internal Medicine
Enumeration Date: Jun 27, 2011
Last Updated: Apr 30, 2012

Practice Location

Address: 929 N GALLOWAY AVE STE 104
City: Mesquite
State: Texas
ZIP Code: 75149-2400
Phone: (972) 216-0079

Authorized Official

Name: ANURADHA L MUNDLURU, MD
Title: OWNER
Phone: (972) 216-0079

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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