Organization
NACOGDOCHES CARDIAC IMAGING CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIJAYA R POKALA, M.D., F.A.C.C. M.D., F.A.C.C. (PRESIDENT)
(936) 564-2637
Entity
Organization
Contact information
Practice address
1023 N MOUND ST, SUITE L, NACOGDOCHES, TX 75961-4491
(936) 564-2637
Mailing address
1023 N MOUND ST, SUITE L, NACOGDOCHES, TX 75961-4491
(936) 564-2637
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
R51043
TX
Other
Enumeration date
04/03/2007
Last updated
01/04/2008
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