Organization
SENIOR HEALTH PHYSICIANS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SURUCHII KATHPALIA M.D. (OWNER)
(361) 575-0228
Entity
Organization
Contact information
Practice address
605 E SAN ANTONIO ST STE 310E, VICTORIA, TX 77901-6053
(361) 575-0228
(361) 237-1585
Mailing address
PO BOX 3768, VICTORIA, TX 77903-3768
(361) 935-5135
(361) 237-1585
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
M5275
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184838401
—
TX
01
—
M5275
LICENSE
TX
Enumeration date
01/08/2007
Last updated
06/11/2014
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