| NPI | 1265186712 |
|---|---|
| Doing Business As | DFW PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | DURGA RAM PRASAD TANNERU Physician 817-718-0155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2022-02-03 |
| Last Update Date | 2022-02-03 |