Organization
LAKSHMI M PUVVADA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAKSHMI M PUVVADA M.D. (SOLE PROPRIETOR)
(903) 723-0033
Entity
Organization
Contact information
Practice address
4002 S LOOP 256, SUITE L, PALESTINE, TX 75801-8491
(903) 723-0033
(903) 723-0036
Mailing address
4002 S LOOP 256, SUITE L, PALESTINE, TX 75801-8491
(903) 723-0033
(903) 723-0036
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
M5001
TX
Other
Enumeration date
04/03/2007
Last updated
12/01/2007
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