COPPELL CARE
Medical Practice at Denton Tap Rd, Coppell, TX

License number
Texas M7714
Category
Medical Practice
Type
Legal Medicine
Owner
Name: MANOHAR VAJJA MD
Title: PHYSICIAN
Phone: (972) 899-1911
Address
Address
651 N Denton Tap Rd STE 100, Coppell, TX 75019
National Provider ID: 1114358413
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about COPPELL CARE at bizstanding.com

COPPELL CARE LLC

Irving, TX  -  Coppell, TX

Registration:
Nov 26, 2013
Addresses:
611 N Macarthur Blvd #110, Irving, TX 75061 (Mailing)
651 N Denton Tap Rd, Coppell, TX 75019
State ID:
0801889558
Business type:
Domestic Limited Liability Company (LLC)
Managers:
Krishnaveni Nadipalli (Manager), 439 Fuentes, Irving, TX 75039,Manohar Vajja (Manager), 6447 Malaga, Irving, TX 75039,Praveena Lammata Vajja (Manager), 6447 Malaga, Irving, TX 75039,...
Agent:
James M Stewart,1701 Market #200, Dallas, TX 75202 (Physical)
TIN:
32052579912

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