Individual
PRAVEEN NATAKAL PAKEERAPPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1055 CLARKSVILLE ST STE 165, PARIS, TX 75460-0211
(903) 401-5145
(903) 401-5145
Mailing address
PO BOX 429, BONHAM, TX 75418-0429
(859) 825-8504
(972) 767-0181
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
S0516
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
941244488
DRIVER LICENSE
AR
Enumeration date
06/03/2011
Last updated
03/08/2024
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