Individual
DR. JAGATHI DEVI CHALLAGALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5400 KELL BLVD, WICHITA FALLS, TX 76310-1610
(940) 691-8271
(940) 692-2042
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 437-9605
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
K5855
TX
207RX0202X
Medical Oncology Physician
K5855
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037101501
—
TX
05
—
037101502
—
TX
05
—
200103010A
—
OK
Enumeration date
01/06/2006
Last updated
09/30/2024
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