Organization
BHASKARA M PONNURU MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BHASKARA M PONNURU MD (PRESIDENT)
(281) 486-9649
Entity
Organization
Contact information
Practice address
500 MEDICAL CENTER BLVD, CLEAR LAKE REGIONAL MEDICAL CENTER, WEBSTER, TX 77598-4220
(281) 332-2511
Mailing address
15518 CONIFER BAY COURT, HOUSTON, TX 77059-3186
(281) 486-9649
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
F8619
TX
Other
Enumeration date
07/10/2006
Last updated
08/22/2020
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