Aruna Medical Clinic, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

L7943 Issued in TX

Legal business name

ARUNA MEDICAL CLINIC, LLC

Practice address

417 Oakbend Dr
Suite 100
Lewisville, TX 75067-2338

Phone

(214) 814-1914

NPI assigned

Aug 4, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Aruna Boddu, M.D

Title

Physician

Phone

(214) 226-0093

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407110400000",
    "number": "1407265572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10327 OFFSHORE DR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750635092",
            "telephone_number": "214-226-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 OAKBEND DR",
            "address_2": "SUITE 100",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750672338",
            "telephone_number": "214-814-1914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARUNA MEDICAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-04",
        "last_updated": "2014-08-04",
        "status": "A",
        "authorized_official_last_name": "BODDU",
        "authorized_official_first_name": "ARUNA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "214-226-0093",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L7943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.