Most Relevant Information
Provider Data
| NPI Number: | 1003007022 |
| Provider Name: | MAMTA GUPTA MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/06/2007 |
| Last Updated: | 03/31/2022 |
Provider Practice Location
3600 GASTON AVE
SUITE 550
DALLAS
TX
752461800
Practice Location Phone/Fax
| Phone: | 2148218867 |
| Fax: | 2148211193 |
Provider Mailing Location
3600 GASTON AVE STE 550
DALLAS
TX
752461905
Provider Mailing Phone/Fax
| Phone: | 2148211177 |
| Fax: | 2148211193 |