Organization
KOTESWARAMMA NARRA, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONJA VADEN (BILLING MANAGER)
(806) 300-0289
Entity
Organization
Contact information
Practice address
3819 22ND PL, LUBBOCK, TX 79410-1117
(806) 300-0289
Mailing address
3819 22ND PL, LUBBOCK, TX 79410-1117
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
K0145
TX
Other
Enumeration date
12/26/2008
Last updated
12/26/2008
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