Individual
C SREENIVASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 QUAIL CREEK DR, STE 101, AMARILLO, TX 79124-1634
(806) 355-8911
(806) 355-3182
Mailing address
800 QUAIL CREEK DR, STE 101, AMARILLO, TX 79124-1634
(806) 355-8911
(806) 355-3182
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
G6622
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114741503
—
TX
Enumeration date
02/23/2006
Last updated
11/04/2008
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