Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | N8353 | TX |
N | 208000000X | Pediatrician | N8353 | TX |
NPI | 1427244474 |
---|---|
Provider Name | Dimple L Sureka |
First Address | Dallas, TX 75284-5347 |
Second Address | Dallas, TX 75390-8591 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/09/2007 |
Last Update Date | 12/01/2012 |