Organization
AJAY GAALLA, P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AJAY GAALLA M.D. (PHYSICIAN)
(361) 580-2200
Entity
Organization
Contact information
Practice address
2104 PATTERSON DR, VICTORIA, TX 77901-5639
(361) 580-2200
(361) 580-2201
Mailing address
2104 PATTERSON DR, VICTORIA, TX 77901-5639
(361) 580-2200
(361) 580-2201
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
J4134
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113733304
—
TX
01
—
8BF139
BCBS
TX
Enumeration date
10/29/2007
Last updated
09/02/2010
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