Individual
LAKSHMI VIJAYA KAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3501 N 19TH ST, WACO, TX 76708-2007
(254) 745-5103
Mailing address
3501 N 19TH ST, WACO, TX 76708-2007
(254) 745-5103
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
M3860
TX
Other
Enumeration date
10/18/2006
Last updated
03/27/2014
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