Athota, Komali

Athota, Komali is an individual health care provider with primary practice located at 14197 Danehurst Ln , Frisco TX 75035-1310. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Athota, Komali can be contacted via phone (912) 401-1124.

Contact Information

Primary practice address
14197 Danehurst Ln Frisco TX 75035-1310
Phone: (912) 401-1124
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 1053939 Texas
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 1053939 Texas

Profile Details

NPI number 1306554175
LBN Legal business name Athota, Komali
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2022
Last updated Nov 10th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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