Individual
HARICA KODAKANDLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
(409) 772-1221
(409) 772-1224
Mailing address
PO BOX 650859, DEPT 710, DALLAS, TX 75265-0859
(409) 722-2222
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
V1516
TX
207LP3000X
Pediatric Anesthesiology Physician
Primary
V1516
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2019
Last updated
08/21/2024
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