Organization
SURESH N GADASALLI M D P A
Active
Other names
The Healthy Heart Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SURESH NAGARAJ GADASALLI M.D. (PRESIDENT)
(432) 580-5891
Entity
Organization
Contact information
Practice address
500 E 4TH ST, ODESSA, TX 79761-5110
(432) 580-8686
(432) 580-8383
Mailing address
PO BOX 362, ODESSA, TX 79760-0362
(432) 580-5891
(432) 582-2302
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
J5765
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081068102
—
TX
Enumeration date
06/01/2005
Last updated
02/19/2014
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