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Individual

DR. GOWRI PACHIGOLLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

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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