Dr P Raju Indukuri, MD | |
669 Airport Fwy Ste 309, Hurst, TX 76053-3984 | |
(817) 222-9907 | |
(817) 222-9909 |
Full Name | Dr P Raju Indukuri |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 669 Airport Fwy Ste 309, Hurst, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982611513 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | H7433 (Texas) | Primary |
Entity Name | P Raju Indukuri Md Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932382165 PECOS PAC ID: 8224098686 Enrollment ID: O20041012000345 |
Mailing Address | Practice Location Address |
---|---|
Dr P Raju Indukuri, MD 669 Airport Fwy Ste 309, Hurst, TX 76053-3984 Ph: (817) 222-9907 | Dr P Raju Indukuri, MD 669 Airport Fwy Ste 309, Hurst, TX 76053-3984 Ph: (817) 222-9907 |
Mrs. Mary Ann Fleming Hubbard, FNP-C Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 669 Airport Fwy Ste 401, Hurst, TX 76053 Phone: 763-817-5665 | |
Daniel Eric Rousch, D.O. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1236 Southridge Ct Ste 201, Hurst, TX 76053 Phone: 817-585-6807 Fax: 817-394-2119 | |
Melissa Lynne Baker, MSN, APRN, PMHNP-BC Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 669 Airport Fwy Ste 309, Hurst, TX 76053 Phone: 817-222-9907 Fax: 817-222-9909 |