Individual
DR. ANITA BHAGAVATHULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1305 WONDER WORLD DR STE 200, SAN MARCOS, TX 78666-7502
(512) 754-8676
(512) 371-6891
Mailing address
PO BOX 35629, DALLAS, TX 75235-0629
(214) 424-2200
(214) 231-2159
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
U8688
TX
207RG0100X
Gastroenterology Physician
Primary
U8688
TX
Other
Enumeration date
04/17/2018
Last updated
04/28/2026
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