Individual provider · NPI-1

Bhanu Prakash Nagalla, MD

Family Medicine · Denton, TX

NPI number1174728026
StatusActive
Last updated in NPPESFeb 14, 2017

Details

NPI
1174728026
Entity type
Individual (NPI-1)
Name
Bhanu Prakash Nagalla
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jun 20, 2007
Last updated
Feb 14, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineQ1687TXYes
208M00000X Hospitalist257074NY

Practice location

3000 N Interstate 35
Denton, TX 76201-5119

Phone 940-898-7144 · Fax 940-898-7104

Mailing address

3000 N Interstate 35
Denton, TX 76201-5119

Phone 940-898-7144 · Fax 940-898-7104

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