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Organization
SR MEDICAL CLINIC PLLC
Active
Organization
SR MEDICAL CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SADASIVAREDDY GOLI MD (PHYSICIAN)
(713) 695-8180
Entity
Organization
Contact information
Practice address
5990 AIRLINE DR, 250, HOUSTON, TX 77076-4237
(713) 695-8180
Mailing address
PO BOX 38252, HOUSTON, TX 77238-8252
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L3314
TX
Other
Enumeration date
12/13/2013
Last updated
03/25/2014
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