VISHU LAMMATA MD PA
Osteopathic Medicine at York Dr, Desoto, TX

License number
Texas G1942
Category
Osteopathic Medicine
Type
Cardiovascular Disease
Owner
Name: VISHU LAMMATA
Title: PHYSICIAN
Phone: (972) 572-1600
Address
Address 2
925 York Dr, Desoto, TX 75115
PO Box 380577, Duncanville, TX 75138
National Provider ID: 1124116132
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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VISHU LAMMATA, M.D., PA

Desoto, TX

Status:
Inactive
Registration:
Jan 25, 1988
Addresses:
1116 Frost Holw Dr, Desoto, TX 75115 (Mailing)
925 York Dr, Desoto, TX 75115
State ID:
0081129803
Business type:
Professional Association
Director , Member , Officer:
Vishu Lammata Director , Member , Officer, inactive
TIN:
32036034943

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