SearchTexas363LA2200X

Komali Athota

NPI 1306554175 · on the registry since 2022

Practice

Address
14197 Danehurst Ln
Frisco, TX 75035
Phone
(912) 401-1124

Registry record

Primary taxonomy
363LA2200X
363LA2200X
Also registered as
363LG0600X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-11-10

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