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Organization
VENKATA ERELLA MD LLC
Active
Organization
VENKATA ERELLA MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VENKATA S ERELLA MD (OWNER)
(812) 391-3949
Entity
Organization
Contact information
Practice address
11851 JOLLYVILLE RD, SUITE 104, AUSTIN, TX 78759-2338
(512) 257-2425
(512) 257-2426
Mailing address
11851 JOLLEYVILLE ROAD, SUITE 104, AUSTIN, TX 78759-2350
(512) 257-2425
(512) 257-2426
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
06/23/2009
Last updated
06/23/2009
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