INTERNAL MEDICINE ASSOCIATES OF SOUTH DALLAS PA
Osteopathic Medicine at Wheatland Rd, Dallas, TX

License number
Texas L3488
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: DR. ASHWANI DAYAL SRIVASTAVA MD
Title: PRESIDENT
Phone: (214) 697-7985
Address
Address
4305 W Wheatland Rd, Dallas, TX 75237
National Provider ID: 1205023397
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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INTERNAL MEDICINE ASSOCIATES OF SOUTH DALLAS PA

Dallas, TX

Registration:
Mar 28, 2007
Addresses:
4305 W Wheatland Rd STE 101, Dallas, TX 75237 (Mailing)
3430 W Wheatland Rd, Dallas, TX 75237
State ID:
0800793456
Business type:
Professional Association
President, Director, Member:
Ashwani Srivastava (President, Director, Member)
Agent:
Ashwani D Srivastava,4305 W Wheatland Rd STE 101, Dallas, TX 75237 (Physical)
TIN:
32035040370

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