Organization · Type 2 NPI

Vijaya Nama MD PA

Primary Care Clinic/Center · Garland, TX

NPI number 1073520177 Active

Practice location

407 W Interstate 30
Garland, TX 75043-5912

Fax (972) 303-3003

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XL7821 (TX)

Primary Care Clinic/Center: Definition to come...

7 other providers at this address

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About NPI 1073520177

Vijaya Nama MD PA's National Provider Identifier is 1073520177, issued on Aug 2, 2006. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Garland, TX. The record was last updated on Aug 22, 2020.