Organization
THE NAIDU CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJA BAVIKATI NAIDU M.D. (DOCTOR)
(432) 337-4347
Entity
Organization
Contact information
Practice address
605 E 4TH ST STE 300, ODESSA, TX 79761-5100
(432) 337-4347
Mailing address
5425 NEW ORLEANS DR, ODESSA, TX 79762-4736
(432) 362-0018
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
2010011351
TX
Other
Enumeration date
10/18/2011
Last updated
10/18/2011
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