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Individual

CHANDANA NAMBURI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5201 BOSQUE BLVD STE 200, WACO, TX 76710-4676
(254) 261-6363
Mailing address
4701 LAKELAND DR APT 33H, FLOWOOD, MS 39232-9785
(469) 430-3442

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
TX

Other

Enumeration date
06/11/2026
Last updated
06/11/2026
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