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Organization

LUNG CLINIC PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ABHISHEK VEDAVALLI MD (PRESIDENT)
(512) 718-7494
Entity
Organization

Contact information

Practice address
555 CREEKSIDE XING, NEW BRAUNFELS, TX 78130
(210) 774-5443
(336) 350-8495
Mailing address
PO BOX 733537, DALLAS, TX 75373-3537
(210) 774-5443
(336) 350-8495

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
P6293
TX
207RP1001X
Pulmonary Disease Physician
Primary
P6293
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3642415-01
TX
Enumeration date
11/20/2015
Last updated
12/04/2018
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