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Individual

AMMINI JOSEPH VALLOPPILLIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1407 AVE H, BAY CITY, TX 77414
(979) 245-7317
(979) 245-7319
Mailing address
1407 AVE H, BAY CITY, TX 77414
(979) 245-7317
(979) 245-7319

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
E5971
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
121234202
TX
05
121234203
TX
Enumeration date
09/20/2006
Last updated
07/24/2008
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