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NPI Code Detail

MEDICARE: SIRIPURAPU ASSOCIATES PLLC MEDICAL ASSOCIATES OF NORTH TEXAS

MEDICARE: SIRIPURAPU ASSOCIATES PLLC MEDICAL ASSOCIATES OF NORTH TEXAS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1023495702
Entity Type Code : Organization
Provider Name (Legal Business Name) : SIRIPURAPU ASSOCIATES PLLC MEDICAL ASSOCIATES OF NORTH TEXAS
Provider Business Mailing Address
First Line : PO BOX 271600
Second Line :
City : FLOWER MOUND
State : TX
Zip : 75027-1600
Country : US
Telephone Number : 972-544-6600
Fax Number : 972-544-6604
Provider Business Practice Location Address
First Line : 1023 LIPSCOMB ST STE 200
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-3102
Country : US
Telephone Number : 972-544-6600
Fax Number : 972-544-6604
Authorized Official
Title or Position : CHAIRMAN
Name : DR. RAVI SUBRAHMANYA SIRIPURAPU
Credential : MD
Telephone Number : 972-544-6600
Provider Enumeration Date : 04/30/2015
Last Update Date : 12/26/2024

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