Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | Q4232 | TX |
Y | 207QS0010X | Family Doctor - Sports Medicine | Q4232 | TX |
NPI | 1295171668 |
---|---|
Provider Name | Rathna Rao Nuti |
First Address | Murphy, TX 75094-4206 |
Second Address | Mckinney, TX 75069-1898 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2013 |
Last Update Date | 10/02/2021 |