Organization
ADOLESCENT & ADULT ALLERGY CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. P.K. RAGHU M.D. (PHYSCIAN / OWNER)
(432) 332-5533
Entity
Organization
Contact information
Practice address
2400 E 8TH ST, ODESSA, TX 79761-4902
(432) 332-5533
(432) 580-5533
Mailing address
2400 E 8TH ST, ODESSA, TX 79761-4902
(432) 332-5533
(432) 580-5533
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Enumeration date
10/18/2006
Last updated
07/23/2008
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