Mdsa Texas Inc.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

MDSA TEXAS INC.

Practice address

2705 Hospital Blvd
Suite 100
Grand Prairie, TX 75051-0928

Phone

(972) 314-9900

Fax

(972) 314-9901

NPI assigned

Oct 24, 2013

Organization subpart

No

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

Authorized official

Name

Sunitha Pudhota, MD

Title

Owner

Phone

(972) 655-9294

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1382572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384819200000",
    "number": "1679901847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 630066",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750630100",
            "telephone_number": "972-655-9294",
            "fax_number": "972-655-9294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 HOSPITAL BLVD",
            "address_2": "SUITE 100",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750510928",
            "telephone_number": "972-314-9900",
            "fax_number": "972-314-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDSA TEXAS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-24",
        "last_updated": "2013-11-19",
        "status": "A",
        "authorized_official_last_name": "PUDHOTA",
        "authorized_official_first_name": "SUNITHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-655-9294",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anesthesiology Physician in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Anesthesiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; 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.