Individual
DR. VARALAXMI BHAVANI NANNAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
912 S FLEISHEL AVE, TYLER, TX 75701-2018
(903) 592-6901
Mailing address
912 S FLEISHEL AVE, TYLER, TX 75701-2018
(903) 592-6901
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
R2182
TX
207RP1001X
Pulmonary Disease Physician
Primary
R2182
TX
Other
Enumeration date
09/13/2011
Last updated
11/21/2019
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