Organization
WICHITA FALLS CARDIAC CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VENKATESWARLU THOTA M.D. (OWNER MEMBER)
(940) 723-6400
Entity
Organization
Contact information
Practice address
1518 10TH ST, WICHITA FALLS, TX 76301-4405
(940) 723-6400
(940) 723-6403
Mailing address
1518 10TH ST, WICHITA FALLS, TX 76301-4405
(940) 723-6400
(940) 723-6403
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
05/22/2007
Last updated
10/02/2007
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