Organization
EPIC CARDIOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUBRAMANYA VARA PRASAD GAJARAJU VENKATA MD (MD/OWNER)
(936) 631-5600
Entity
Organization
Contact information
Practice address
1 MEDICAL CENTER BLVD, LUFKIN, TX 75904-3173
(936) 631-5600
Mailing address
1 MEDICAL CENTER BLVD, LUFKIN, TX 75904-3173
(936) 631-5600
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
11/17/2020
Last updated
03/16/2021
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