# TEXOMA ANESTHESIA P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063798148
- **Authorized official:** SREENADHA REDDY VATTAM M.D. (PRESIDENT)
- **Authorized official phone:** (469) 342-6611

## Contact information

- **Practice address:** 2713 ZOELLER DR, PLANO, TX 75025-5181
- **Practice address phone:** (469) 342-6611
- **Practice address fax:** (903) 892-6999
- **Mailing address:** 2713 ZOELLER DR, PLANO, TX 75025-5181
- **Mailing address phone:** (469) 342-6611
- **Mailing address fax:** (903) 892-6999

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | M2851 | TX | Yes |

## Other

- **Enumeration date:** 11/02/2011
- **Last updated:** 11/02/2011