Organization
REDDY & MCGOWAN PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTI B REDDY MD (PRINCIPAL OFFICER)
(936) 539-7757
Entity
Organization
Contact information
Practice address
504 MEDICAL CENTER BLVD, NICU CRMC, CONROE, TX 77304-2808
(936) 539-7757
Mailing address
PO BOX 3104, CONROE, TX 77305-3104
(936) 539-7757
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181799101
—
TX
Enumeration date
06/29/2006
Last updated
05/23/2008
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