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NPI Code Detail

MEDICARE: TRUECARE MEDICAL ASSOCIATES PLLC

MEDICARE: TRUECARE MEDICAL ASSOCIATES 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
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1447929153
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRUECARE MEDICAL ASSOCIATES PLLC
Provider Business Mailing Address
First Line : 6330 SARATOGA BLVD
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78414-3481
Country : US
Telephone Number : 248-345-7383
Fax Number :
Provider Business Practice Location Address
First Line : 6330 SARATOGA BLVD
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78414-3481
Country : US
Telephone Number : 248-345-7383
Fax Number :
Authorized Official
Title or Position : MANAGING MEMBER
Name : DR. KUSUMAKAR SOODA
Credential : MD
Telephone Number : 248-345-7383
Provider Enumeration Date : 09/07/2021
Last Update Date : 02/03/2022

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Directions to “TRUECARE MEDICAL ASSOCIATES PLLC ” Practice Location

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