Individual
SUBRAHMANYAM NARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12411 HYMEADOW DR, STE 3E, AUSTIN, TX 78750-1874
(512) 331-5321
(512) 331-8012
Mailing address
12411 HYMEADOW DR STE 3E, AUSTIN, TX 78750-1829
(512) 331-5321
(512) 251-6774
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G6978
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0055RE
BCBS
TX
01
—
060027797A
RAILROAD MEDICARE
—
01
—
060039605
RAILROAD MEDICARE
—
05
—
123207604
—
TX
01
—
300451
GREAT WEST
—
01
—
4089872
AETNA/TRS
—
01
—
46561
FIRST HEALTH
TX
Enumeration date
08/17/2005
Last updated
09/30/2008
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