Individual
NAGARJUN NARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3615 19TH ST, LUBBOCK, TX 79410-1203
(806) 725-4288
Mailing address
PO BOX 25043, FORT WORTH, TX 76124-2043
(817) 451-4208
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
K0146
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000S7292
—
NM
05
—
139525312
—
TX
05
—
139525323
—
TX
01
—
89098N
BLUE CROSS & BLUE SHIELD
TX
Enumeration date
10/26/2006
Last updated
05/21/2008
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