Organization
TEXOMA ANESTHESIA P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SREENADHA REDDY VATTAM M.D. (PRESIDENT)
(469) 342-6611
Entity
Organization
Contact information
Practice address
2713 ZOELLER DR, PLANO, TX 75025-5181
(469) 342-6611
(903) 892-6999
Mailing address
2713 ZOELLER DR, PLANO, TX 75025-5181
(469) 342-6611
(903) 892-6999
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
M2851
TX
Other
Enumeration date
11/02/2011
Last updated
11/02/2011
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