Provider Demographics
NPI:1962869347
Name:MURUGESAN SIDDHAPPAN MD PLLC
Entity type:Organization
Organization Name:MURUGESAN SIDDHAPPAN MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MURUGESAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SIDDHAPPAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:940-284-3884
Mailing Address - Street 1:4760 PRESTON RD
Mailing Address - Street 2:STE #244-244
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-8548
Mailing Address - Country:US
Mailing Address - Phone:940-284-3884
Mailing Address - Fax:877-442-9313
Practice Address - Street 1:4760 PRESTON RD
Practice Address - Street 2:STE #244-244
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-8548
Practice Address - Country:US
Practice Address - Phone:940-284-3884
Practice Address - Fax:877-442-9313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-15
Last Update Date:2016-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN1756208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Single Specialty