institution
Sita M Devulapalli, Md, Pa
Primary Care Clinic/Center in Longview, Texas
NPI 1457472110

Sita M Devulapalli, Md, Pa is a Primary Care Clinic/Center based in Longview, TX and is specialized in Primary Care. Sita M Devulapalli, Md, Pa practices in Longview, TX. The NPI Number for Sita M Devulapalli, Md, Pa is 1457472110 and holds a License No. K4038 (Texas).

The current practice location address for Sita M Devulapalli, Md, Pa is 903 Walnut Hill Dr, Longview, TX and can be reached out via phone at 903-234-9500 and via fax at 903-234-2360.

Location: 903 Walnut Hill Dr, Longview, TX, 75605-5062
institution
Provider Profile Details
NPI Number
1457472110
Provider Name
Sita M Devulapalli, Md, Pa
Credential
Provider Entity Type
Organization
Address
903 Walnut Hill Dr, Longview, TX, 75605-5062
Phone Number
903-234-9500
Fax Number
903-234-2360
Provider Enumeration Date
04/02/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
029636001 05 TX
0012CA 01 TX BCBSTX
institution
Provider Business Practice Location Address Details
Address
903 Walnut Hill Dr
City
State
Zip
75605-5062
Phone Number
903-234-9500
Fax Number
903-234-2360
person
Provider Business Mailing Address Details
Address
903 Walnut Hill Dr
City
State
Zip
75605-5062
Phone Number
903-234-9500
Fax Number
903-234-2360
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
K4038 (Texas)
Definition
Definition to come...
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