Organization
DIABETES CENTER OF THE SOUTHWEST, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. G M GOLLAPUDI M.D. (PRESIDENT)
(432) 686-0000
Entity
Organization
Contact information
Practice address
10 DESTA DR, SUITE 190, MIDLAND, TX 79705-4515
(432) 686-0000
(432) 682-0322
Mailing address
10 DESTA DR, SUITE 190, MIDLAND, TX 79705-4515
(432) 686-0000
(432) 682-0322
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/12/2007
Last updated
08/22/2020
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