Boppana Primary Care Clinic, Pllc

LBN: Boppana Primary Care Clinic, Pllc
Boppana Primary Care Clinic, Pllc is an health care organization with primary practice located at 2460 N Central Expy Suite 101, Richardson TX 75080-2713. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Boppana Primary Care Clinic, Pllc can be contacted via phone (972) 644-1100, or through Boppana, Sita M via phone (972) 644-1100.

Contact Information

Primary practice address
2460 N Central Expy Suite 101 Richardson TX 75080-2713
Phone: (972) 644-1100
Fax: (972) 644-1107
Website:
Map and Directions
Authorized official contact:
Name: Boppana, Sita M Doctor of Medicine (MD)
Phone: (972) 644-1100

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1326168139
LBN Legal business name Boppana Primary Care Clinic, Pllc
DBA Doing business as
Authorized official Boppana, Sita M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 29th, 2007
Last updated Nov 5th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326168139 NPPES
Texas MEDICAID 151198201

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