Irving Coppell Primary Care Doctors Pllc

NPI #1871973867 in Mansfield, Texas

Provider Information

NPI Number: 1871973867
Entity Type: Organization
Organization Name: Irving Coppell Primary Care Doctors Pllc
Primary Specialty: Family Medicine
Enumeration Date: Jun 4, 2015
Last Updated: Oct 21, 2015

Practice Location

Address: 309 REGENCY PKWY
Address 2: SUITE #107
City: Mansfield
State: Texas
ZIP Code: 76063-5165
Phone: (972) 905-3915

Authorized Official

Name: DR. VIJAYALAKSHMI RAGHU, M.D.
Title: OWNER/PROVIDER
Phone: (972) 905-3915

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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