Organization
MEDICAL & HEART CENTER PA
Active
Other names
Guduru R Reddy MD
Organization subpart
No
Provider details
NPI number
Authorized official
GUDURU R REDDY MD (OWNER)
(817) 341-8646
Entity
Organization
Contact information
Practice address
2614 E BANKHEAD HWY, WEATHERFORD, TX 76087-9558
(817) 341-8646
(817) 341-1905
Mailing address
2614 E BANKHEAD HWY, WEATHERFORD, TX 76087-9558
(817) 341-8646
(817) 341-1905
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G2824
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137429002
—
TX
Enumeration date
09/07/2006
Last updated
09/21/2009
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