Individual provider · Type 1 NPI
Surya Raju
Nurse Practitioner · Carrollton, TX
Practice location
1199 Lakefirth Path
Carrollton, TX 75010-4322
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 1245090 (TX) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1508787094
Surya Raju's National Provider Identifier is 1508787094, issued on Jul 22, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Carrollton, TX. The record was last updated on Aug 31, 2026.