VIJAYA NAMA M.D PA
Marriage and Family Therapists at Galloway Ave, Mesquite, TX

License number
Texas L7821
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: DR. VIJAYA NAMA M.D
Title: DIRECTOR
Phone: (972) 613-2127
Address
Address
5115 N Galloway Ave STE 304, Mesquite, TX 75150
National Provider ID: 1770770638
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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VIJAYA NAMA, M.D., PA

Plano, TX  -  Mesquite, TX

Doing business as:
Vijaya Nama, M.D., PA
Registration:
May 5, 2006
Addresses:
3101 Kennison Ct, Plano, TX 75093 (Mailing)
929 N Galloway Ave, Mesquite, TX 75149
State ID:
0800650849
Business type:
Professional Association
President , Director , Member:
Vijaya Nama (President , Director , Member)
Agent:
Vijay K Nama,3101 Kennison Ct, Plano, TX 75093 (Physical)
TIN:
32039111631

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