Healthcare Provider Details

I. General information

NPI: 1932688249
Provider Name (Legal Business Name): NEHA GARG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2018
Last Update Date: 06/11/2024
Certification Date: 06/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1935 MEDICAL DISTRICT DR
DALLAS TX
75235-7701
US

IV. Provider business mailing address

3333 S ALAMEDA ST APT 16E
CORPUS CHRISTI TX
78411-1838
US

V. Phone/Fax

Practice location:
  • Phone: 214-456-5959
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code2080P0205X
TaxonomyPediatric Endocrinology Physician
License NumberT0489
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: