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Organization
SUSHMA GORRELA FAMILY PRACTICE
Active
Organization
SUSHMA GORRELA FAMILY PRACTICE
Active
Parent organization
SUSHMA GORRELA FAMILY PRACTICE
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUSHMA GORRELA FAMILY PRACTICE
Authorized official
MANI KISHORE SHARMA (CREDENTIALING MANAGER)
(281) 257-5977
Entity
Organization
Contact information
Practice address
18 MEADOWRIDGE PL, THE WOODLANDS, TX 77381-6275
(281) 257-5977
(281) 257-5966
Mailing address
18 MEADOWRIDGE PL, THE WOODLANDS, TX 77381-6275
(281) 257-5977
(281) 257-5966
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L6740
TX
Other
Enumeration date
06/03/2008
Last updated
06/20/2008
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