Organization
NACOGDOCHES CARDIAC CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIJAYA R POKALA M.D., F.A.C.C. (PRESIDENT)
(936) 564-2099
Entity
Organization
Contact information
Practice address
1023 N MOUND ST, SUITE K, NACOGDOCHES, TX 75961-4491
(936) 564-2099
(936) 564-2083
Mailing address
1023 N MOUND ST, SUITE K, NACOGDOCHES, TX 75961-4491
(936) 564-2099
(936) 564-2083
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
H6917
TX
207UN0901X
Nuclear Cardiology Physician
Primary
L05982
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179845601
—
TX
Enumeration date
08/11/2006
Last updated
09/11/2025
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