Individual
SAILATHA BOBBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1901 VETERANS MEMORIAL DR, TEMPLE, TX 76504-7451
(254) 778-4811
Mailing address
11357 NUCKOLS RD # 183, GLEN ALLEN, VA 23059-5504
(225) 223-7788
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
S9267
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S9267
STATE LICENSE
TX
Enumeration date
06/05/2013
Last updated
02/03/2021
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