Provider Demographics
NPI:1508008269
Name:NORTH DALLAS WOMEN'S CARE PA
Entity Type:Organization
Organization Name:NORTH DALLAS WOMEN'S CARE PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRIVATE PRACTICE
Authorized Official - Prefix:DR
Authorized Official - First Name:SUREKHA
Authorized Official - Middle Name:
Authorized Official - Last Name:MACHUPALLI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-908-2444
Mailing Address - Street 1:2033 W MCDERMOTT DR
Mailing Address - Street 2:STE# 320
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-4694
Mailing Address - Country:US
Mailing Address - Phone:972-908-2444
Mailing Address - Fax:469-467-7383
Practice Address - Street 1:2033 W MCDERMOTT DR
Practice Address - Street 2:STE# 320
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-4694
Practice Address - Country:US
Practice Address - Phone:972-908-2444
Practice Address - Fax:469-467-7383
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-27
Last Update Date:2014-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM8150282NW0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NW0100XHospitalsGeneral Acute Care HospitalWomen