Organization
SHANTHI THANGAM, MD PA
Active
Organization
SHANTHI THANGAM, MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTHI THANGAM MD (CEO)
(432) 337-9000
Entity
Organization
Contact information
Practice address
419 N JACKSON AVE, ODESSA, TX 79761-5124
(432) 337-9000
(432) 337-2545
Mailing address
419 N JACKSON AVE, ODESSA, TX 79761-5124
(432) 337-9000
(432) 337-2545
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
K7111
TX
Other
Enumeration date
11/08/2012
Last updated
11/08/2012
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