Search › Texas › 363LF0000X
Sutha Fernando
NPI 1093255580 · on the registry since 2017 · sole proprietor
Practice
- Address
- 2760 E Trinity Mills Rd Ste 115
Carrollton, TX 75006 - Phone
- (214) 949-1209
- Organisation at this address
- Immanuel Family Clinic Pllc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-02-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas