Individual
DR. GOWRI PACHIGOLLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
634 UPTOWN BLVD, CEDAR HILL, TX 75104-3507
(972) 637-1300
(866) 353-7586
Mailing address
634 UPTOWN BLVD, CEDAR HILL, TX 75104-3507
(972) 637-1300
(866) 353-7586
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
N0336
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356513345
—
TX
05
—
1659467306
—
TX
01
—
BP2-0022421
INSTITUTIONAL PERMIT
—
Enumeration date
06/07/2007
Last updated
02/07/2014
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