Individual
DR. MANOHER L GURRU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3400 ANDREWS HWY, MIDLAND, TX 79703-5100
(432) 570-9991
(432) 570-9998
Mailing address
PO BOX 4100, MIDLAND, TX 79704-4100
(432) 570-9991
(432) 570-9998
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
L2914
TX
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
L2914
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0018HQ
BCBS
TX
05
—
149254801
—
TX
01
—
8F6600
BCBS
TX
01
—
L2914
TX LICENSE
TX
Enumeration date
07/09/2006
Last updated
10/17/2022
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