CHAITANYA B CHAVDA, MD
Medical Practice at Regency Pkwy, Midlothian, TX

License number
Texas N8773
Category
Medical Practice
Type
Pediatrics
License number
Texas N8773
Category
Medical Practice
Type
Neonatal-Perinatal Medicine
Address
Address
221 Regency Pkwy STE 125, Midlothian, TX 76063
Phone
(817) 477-5884
(817) 453-8091 (Fax)
National Provider ID: 1710160692
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CHAITANYA B. CHAVDA, MD, PLLC

Midlothian, TX  -  Dallas, TX

Doing business as:
Chaitanya B. Chavda, MD, Pllc
Registration:
Feb 16, 2012
Addresses:
309 Regency Pkwy STE 107, Mansfield, TX 76063 (Mailing)
4201 Lomo Alto Dr, Dallas, TX 75219
State ID:
0801551955
Business type:
Domestic Limited Liability Company (LLC)
MEMBER, Member:
Chaitanya B Chavda (MEMBER, Member), 309 Regency Pkwy STE 107, Mansfield, TX 76063
Agent:
Md Chaitanya B Chavda,309 Regency Pkwy SUITE 107, Mansfield, TX 76063 (Physical)
TIN:
32047007680

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