MEDICARE: RELIANCE MD PLLC

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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1447926134
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RELIANCE MD PLLC

Provider Business Mailing Address
First Line	:	2650 FM 407 E STE 145405
Second Line	:
City	:	BARTONVILLE
State	:	TX
Zip	:	76226-7012
Country	:	US
Telephone Number	:	972-836-9859
Fax Number	:

Provider Business Practice Location Address
First Line	:	4931 LONG PRAIRIE RD
Second Line	:
City	:	FLOWER MOUND
State	:	TX
Zip	:	75028-2786
Country	:	US
Telephone Number	:	972-836-9859
Fax Number	:

Authorized Official
Title or Position	:	PARTNER
Name	:	DR. NEELIMA NARREDDY
Credential	:	MD
Telephone Number	:	972-869-1502

Provider Enumeration Date	:	08/21/2021
Last Update Date	:	01/04/2022

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