| Organization Name: | SOUTHERN MEDICAL ASSOCIATES PLLC |
| NPI Number: | 1518260256 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LATHA YEDLAPALLI (MD) |
| Mailing Address: | 3520 Preston Rd Ste 108 Frisco |
| State: | TX US |
| Postal Code: | 750349488 |
| Phone Number: | 2144364949 |
| Fax Number: | 2144365792 |
| NPI Enumeration Date: | 12/20/2010 |
| NPI Last Update Date: | 05/18/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |