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NPI Code Detail

MEDICARE: SREEKALA ASHOKKUMAR

MEDICARE:   SREEKALA  ASHOKKUMAR
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
1164X00000XLicensed Vocational Nurse199873TX

General Provider Information

NPI Number : 1609325687
Entity Type Code : Individual
Provider Name (Legal Business Name) : SREEKALA ASHOKKUMAR
Provider Business Mailing Address
First Line : 1875 POLO HEIGHTS DR
Second Line :
City : FRISCO
State : TX
Zip : 75033-0428
Country : US
Telephone Number : 214-218-0218
Fax Number :
Provider Business Practice Location Address
First Line : 4500 S LANCASTER RD
Second Line :
City : DALLAS
State : TX
Zip : 75216-7167
Country : US
Telephone Number : 214-742-8387
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2016
Last Update Date : 10/01/2016

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Directions to “ SREEKALA ASHOKKUMAR ” Practice Location

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