Organization
KRISHNA REDDY & RAMA D NAYINI,PTR-EAST TEXAS HEART & LUNG CLINIC
Active
Other names
East Texas Heart & Lung Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMA DEVI NAYINI M.D. (OWNER)
(903) 236-3773
Entity
Organization
Contact information
Practice address
915 N 4TH ST, LONGVIEW, TX 75601-5416
(903) 236-3773
(903) 236-3779
Mailing address
915 N 4TH ST, LONGVIEW, TX 75601-5416
(903) 236-3773
(903) 236-3779
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
G0494
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000SN74
BLUE CROSS & BLUE SHIELD
TX
Enumeration date
03/23/2006
Last updated
05/30/2013
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