Boppana Primary Care Clinic, Pllc
NPI #1326168139 in Richardson, Texas
Provider Information
- NPI Number
- 1326168139
- Entity Type
- Organization
- Organization Name
- Boppana Primary Care Clinic, Pllc
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Mar 29, 2007
- Last Updated
- Nov 5, 2018
Practice Location
- Address
- 2460 N CENTRAL EXPY
- Address 2
- SUITE 101
- City
- Richardson
- State
- Texas
- ZIP Code
- 75080-2713
- Phone
- (972) 644-1100
Authorized Official
- Name
- DR. SITA M BOPPANA, M.D.
- Title
- PRESIDENT
- Phone
- (972) 644-1100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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