SREEDEVI KODALI, M.D., PLLC
Ambulatory Health at Heritage Ave, Colleyville, TX

License number
Texas M6238
Category
Ambulatory Health
Type
Medical Specialty
Owner
Name: SREEDEVI KODALI M.D.
Title: PRESIDENT
Phone: (817) 868-1616
Address
Address
5209 Heritage Ave SUITE 220, Colleyville, TX 76034
National Provider ID: 1548597289
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SREEDEVI KODALI, M.D., PLLC

Dallas, TX  -  Colleyville, TX

Industry:
Medical Doctor's Office
Doing business as:
Colleyville Dermatology<br>Sreedevi Kodali, M.D., Pllc
Registration:
Mar 27, 2008
Site:
colleyvilledermatology.com
Phone:
(817) 868-1616 (Phone)
Addresses:
6031 Azalea Ln, Dallas, TX 75230 (Mailing)
5209 Heritage Ave, Colleyville, TX 76034
5013 Heritage Ave, Colleyville, TX 76034
State ID:
0800957250
Business type:
Domestic Limited Liability Company (LLC)
Top Executives:
Sreedevi Kodali (President, Dermatology, Medical Doctor, Governing Person), 6031 Azalea Ln, Dallas, TX 75230,Rachael Jenkins Manager, inactive,Ashley Potak Top Executive, inactive
TIN:
32036630062
Categories:
Dermatology Physicians & Surgeons

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