Organization
PREMA L. VINDHYA, M.D., P. A.
Active
Other names
Premalatha Vindhya
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PREMALATHA VINDHYA MD (OWNER)
(432) 333-1901
Entity
Organization
Contact information
Practice address
2479 E 11TH ST, ODESSA, TX 79761-4232
(432) 333-1901
(432) 520-5914
Mailing address
2479 E 11TH ST, ODESSA, TX 79761-4232
(432) 333-1901
(432) 520-5914
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G7739
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1952355166
TYPE I NPI
TX
Enumeration date
07/19/2011
Last updated
07/19/2011
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