Organization
GOODWILL ANESTHESIA SERVICES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRAMODH KUMAR WADERA M.D. (PRESIDENT)
(281) 265-0774
Entity
Organization
Contact information
Practice address
303 SANDY CORNER RD, EL CAMPO, TX 77437-9535
(281) 265-0774
(281) 265-0774
Mailing address
PO BOX 16404, SUGAR LAND, TX 77496-6404
(281) 265-0774
(281) 265-0774
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
G1575
TX
Other
Enumeration date
04/06/2007
Last updated
08/30/2010
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