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Individual

SATISH NAYAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD PA

Contact information

Practice address
102 S MAIN ST, ANDREWS, TX 79714-7125
(432) 523-3001
(432) 464-2519
Mailing address
P.O. BOX 1649, ANDREWS, TX 79714
(432) 523-3001
(432) 464-2519

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
L5484
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
158648904
TX
01
571157825
TAX IDENTIFICATION
TX
01
L5484
STATE LICENSE
TX
Enumeration date
10/04/2006
Last updated
07/06/2021
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