MEDICARE: MEENAKSHI GUPTA

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
1	225700000X	Massage Therapist	MT119386	TX

General Provider Information

NPI Number	:	1285333559
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEENAKSHI GUPTA

Provider Business Mailing Address
First Line	:	4320 HELSTON DR
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75024-3736
Country	:	US
Telephone Number	:	214-801-1238
Fax Number	:

Provider Business Practice Location Address
First Line	:	6101 CHAPEL HILL BLVD
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-8446
Country	:	US
Telephone Number	:	214-801-1238
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/27/2023
Last Update Date	:	02/27/2023

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Directions to “ MEENAKSHI GUPTA ” Practice Location

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