Most Relevant Information
Provider Data
| NPI Number: | 1003176975 |
| Provider Name: | DIVYASWAPNIKA JAVVAJI M.D |
| Entity Type: | Individual |
| Taxonomy Code: | 207RG0300X |
| Specialty: | Internal Medicine |
| License Number: | R4244 |
Most Important Dates
| Enumeration Date: | 05/24/2012 |
| Last Updated: | 06/07/2024 |
Provider Practice Location
452 STATE HIGHWAY 121 UNIT 130
COPPELL
TX
750194275
Practice Location Phone/Fax
| Phone: | 9723931699 |
| Fax: | 9723931702 |
Provider Mailing Location
452 STATE HIGHWAY 121 UNIT 130
COPPELL
TX
750194275
Provider Mailing Phone/Fax
| Phone: | 9723931699 |
| Fax: | 9723931702 |