East Texas Cardiovascular Labs LLC
NPI #1003835265 in Nacogdoches, Texas
Provider Information
- NPI Number
- 1003835265
- Entity Type
- Organization
- Organization Name
- East Texas Cardiovascular Labs LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Jul 19, 2006
- Last Updated
- Oct 31, 2007
Practice Location
- Address
- 1303 N MOUND ST
- City
- Nacogdoches
- State
- Texas
- ZIP Code
- 75961-4030
- Phone
- (936) 560-1844
Authorized Official
- Name
- MR. PRABHAKAR R GUNIGANTI, M.D.
- Title
- OWNER
- Phone
- (936) 560-1844
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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