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Poonam Rao, MD
Student in an Organized Health Care Education/Training Program in Longview, Texas
NPI 1467184788

Poonam Rao is a Student in an Organized Health Care Education/Training Program based in Longview, TX. Poonam Rao practices in Longview, TX and has the professional credentials of MD. The NPI Number for Poonam Rao is 1467184788 and holds a License No. BP10080611 (Texas).

The current practice location address for Poonam Rao is 701 E Marshall Ave Ste 400, Longview, TX and can be reached out via phone at 903-315-1696 and via fax at 903-315-1900.

Location: 701 E Marshall Ave Ste 400, Longview, TX, 75601-5595
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467184788
Provider Name
Poonam Rao
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
701 E Marshall Ave Ste 400, Longview, TX, 75601-5595
Phone Number
903-315-1696
Fax Number
903-315-1900
Provider Enumeration Date
06/27/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
701 E Marshall Ave Ste 400
City
Longview
State
Texas
Zip
75601-5595
Phone Number
903-315-1696
Fax Number
903-315-1900
person
Provider Business Mailing Address Details
Address
701 E Marshall Ave Ste 400
City
Longview
State
Texas
Zip
75601-5595
Phone Number
903-315-1696
Fax Number
903-315-1900
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
BP10080611 (Texas)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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