Organization
PIONEER HEART CARE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRABHAKAR R GUNIGANTI M.D. (OWNER)
(936) 560-1844
Entity
Organization
Contact information
Practice address
1303 N MOUND ST, NACOGDOCHES, TX 75961-4030
(936) 560-1844
(936) 715-9135
Mailing address
1303 N MOUND ST, NACOGDOCHES, TX 75961-4030
(936) 560-1844
(936) 715-9135
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
G2712
TX
Other
Enumeration date
10/22/2013
Last updated
08/25/2014
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