Organization
GIRISH C. VALLABHAN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN L WILLIAMS BBA CPC (CREDENTIALING MANAGER)
(806) 771-1166
Entity
Organization
Contact information
Practice address
3821 22ND ST, SUITE B, LUBBOCK, TX 79410-1113
(806) 790-5897
Mailing address
3821 22ND ST, SUITE B, LUBBOCK, TX 79410-1113
(806) 790-5897
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
92-154
TX
Other
Enumeration date
02/07/2008
Last updated
02/07/2008
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