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Organization

RAVI HALASWAMY MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RAVI HALASWAMY MD (PRESIDENT)
(409) 813-1177
Entity
Organization

Contact information

Practice address
2666 CALDER ST, BEAUMONT, TX 77702-1958
(409) 813-1177
(409) 813-1199
Mailing address
2666 CALDER ST, BEAUMONT, TX 77702-1958
(409) 813-1177
(409) 813-1199

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
J2592
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
128442401
TX
Enumeration date
02/24/2015
Last updated
02/24/2015
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