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Organization
VIJAYALAKSHMI M TAMMAREDDI MD PA
Active
Organization
VIJAYALAKSHMI M TAMMAREDDI MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDA WILSON (OFFICE MANAGER)
(409) 899-2332
Entity
Organization
Contact information
Practice address
2965 HARRISON ST, SUITE # 316, BEAUMONT, TX 77702-1100
(409) 899-2332
(409) 923-1998
Mailing address
2965 HARRISON ST, SUITE # 316, BEAUMONT, TX 77702-1100
(409) 899-2332
(409) 923-1998
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
F4584
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127518204
—
TX
Enumeration date
09/08/2008
Last updated
09/08/2008
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