Organization
VISHU LAMMATA MD PA
Active
Parent organization
VISWANADHAM LAMMATA MD PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
VISWANADHAM LAMMATA MD PA
Authorized official
VISHU LAMMATA (PHYSICIAN)
(972) 572-1600
Entity
Organization
Contact information
Practice address
925 YORK DR, DESOTO, TX 75115-2043
(972) 572-1600
(972) 572-2133
Mailing address
PO BOX 380577, DUNCANVILLE, TX 75138-0577
(972) 572-1600
(972) 572-2133
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G1942
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0082PY
BCBS
TX
Enumeration date
10/11/2006
Last updated
07/20/2012
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