Dr. SIVASANKER BAKTHAVACHALAM M.D.
Individual Provider (NPI-1)
Active
Otolaryngology
Provider Information
- NPI Number
1730390204- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 4200 W UNIVERSITY DR, PROSPER, TX, 750789805
- Phone
- (682) 303-4200
- Fax
- (682) 303-4242
Specialties & Taxonomies
Otolaryngology
Primary License: TX #M6033