Organization
DIGESTIVE HEALTH CLINIC OF EL PASO P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VENKATESWARA RAO KOLLI M.D (OWNER)
(915) 433-3924
Entity
Organization
Contact information
Practice address
SUITE 4A 1250 E. CLIFF DR., EL PASO, TX 79902-4850
(915) 541-7000
(915) 541-7002
Mailing address
SUITE 4A 1250 E. CLIFF DR., EL PASO, TX 79902-4850
(915) 541-7000
(915) 541-7002
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
J 5805
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119036501
—
TX
Enumeration date
06/01/2006
Last updated
01/08/2008
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