Viji Koduvath
Nurse Practitioner, Family in Garland, TX. Individual provider (NPI-1).
NPI number1083083364
StatusActive
Last updated in NPPESJan 13, 2026
Details
- NPI
- 1083083364
- Entity type
- Individual (NPI-1)
- Name
- Viji Koduvath
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 17, 2015
- Certification date
- Jan 13, 2026
- Last updated
- Jan 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | AP128758 | TX | Yes |
Practice location
1837 N Garland AveGarland, TX 75040-4561
Phone 469-432-4107
Mailing address
1837 N Garland AveGarland, TX 75040-4561
Phone 469-432-4107
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