Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QG0300X | Family Doctor - Geriatric Medicine | N0285 | TX |
NPI | 1043204423 |
---|---|
Provider Name | Dr. Seema C Modi |
First Address | Carrollton, TX 75010-4619 |
Second Address | Carrollton, TX 75010-4619 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2005 |
Last Update Date | 14/12/2015 |