Individual
HARISH TALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 W 5TH ST, ODESSA, TX 79763-4206
(432) 335-2487
(432) 335-5332
Mailing address
701 W 5TH ST, ODESSA, TX 79763-4206
(432) 335-2487
(432) 335-5332
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10040140
TX
208M00000X
Hospitalist Physician
Primary
MD218112
OR
Other
Enumeration date
06/30/2011
Last updated
04/01/2024
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