Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | S8819 | TX |
NPI | 1063709855 |
---|---|
Provider Name | Dr. Tanu Duggal |
First Address | Dallas, TX 75284-4658 |
Second Address | Temple, TX 76502-1808 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2011 |
Last Update Date | 27/01/2022 |