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Individual

VENKATA NAKTA RAJU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1901 SW H K DODGEN LOOP, TEMPLE, TX 76502-1814
(254) 935-4000
(254) 935-4111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
L7126
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
158391601
TX
05
158391602
TX
05
158391603
TX
05
158391604
TX
05
158391605
TX
05
158391606
TX
05
158391607
TX
Enumeration date
02/08/2006
Last updated
12/17/2021
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