Nishendu M. Vasavada, M.D., P.A.
Psychiatry & Neurology, Psychiatry in Lewisville, TX. Organization (NPI-2).
NPI number1700901022
StatusActive
Last updated in NPPESAug 3, 2011
Details
- NPI
- 1700901022
- Entity type
- Organization (NPI-2)
- Legal business name
- Nishendu M. Vasavada, M.D., P.A.
- Organization subpart
- No
- Enumeration date
- Mar 20, 2007
- Last updated
- Aug 3, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | F2490 | TX | Yes |
Other names
- Lakeside Life Center (Doing Business As)
Practice location
560 W Main StSte. 101
Lewisville, TX 75057-3629
Phone 972-221-1741 · Fax 972-219-0057
Mailing address
560 W Main StSte. 101
Lewisville, TX 75057-3629
Phone 972-221-1741 · Fax 972-219-0057
Authorized official
Debbie K. Johnson
Office Manager
9722211741
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