Organization
PERMIAN GASTROENTEROLOGY ASSOCIATES LLP
Active
Organization
PERMIAN GASTROENTEROLOGY ASSOCIATES LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAVIKUMAR PRASAD VEMURU M.D (OWNER)
(432) 333-3433
Entity
Organization
Contact information
Practice address
315 E 5TH ST, ODESSA, TX 79761-5133
(432) 333-3433
(432) 333-3450
Mailing address
315 E 5TH ST, ODESSA, TX 79761-5133
(432) 333-3433
(432) 333-3450
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
TX
Other
Enumeration date
05/24/2007
Last updated
09/21/2011
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