Deer Park Physician Group Pllc

NPI #1235795535 in Deer Park, Texas

Provider Information

NPI Number
1235795535
Entity Type
Organization
Organization Name
Deer Park Physician Group Pllc
Primary Specialty
Emergency Medicine
Enumeration Date
May 13, 2019
Last Updated
Jun 11, 2019

Practice Location

Address
1101 EAST BLVD
State
Texas
ZIP Code
77536-1909
Phone
(346) 954-6007

Authorized Official

Name
DR. RADHESHYAM MIRYALA, MD
Title
OWNER
Phone
(346) 954-6007

Specialties & Taxonomy Codes

Specialty
Emergency Medicine

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