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Search › Texas › 207KA0200X

Vasudeva Bommanna, MD

NPI 1477594836 · on the registry since 2006 · sole proprietor

Practice

Address
607 Russell Blvd
Suite ' B'
Nacogdoches, TX 75965
Phone
(936) 559-7750
Fax
(936) 559-7807
Organisation at this address
Nacogdoches Medical Clinic Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
207KA0200X
207KA0200X
Also registered as
207K00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas