Dr. Archana Thota, M.D.
Internal Medicine in Garland, TX. Individual provider (NPI-1).
NPI number1790789436
StatusActive
Last updated in NPPESMar 30, 2020
Details
- NPI
- 1790789436
- Entity type
- Individual (NPI-1)
- Name
- Dr. Archana Thota
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 10, 2005
- Certification date
- Mar 30, 2020
- Last updated
- Mar 30, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | L0950 | TX | Yes |
Practice location
617 Clara Barton BlvdSte 102
Garland, TX 75042-5761
Phone 972-485-4440 · Fax 972-485-4443
Mailing address
2300 W Fm 544St 220
Wylie, TX 75098
Phone 707-666-3490
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