Pineywoods Diagnostic Clinic of East Texas PA

NPI #1265519730 in Livingston, Texas

Provider Information

NPI Number: 1265519730
Entity Type: Organization
Organization Name: Pineywoods Diagnostic Clinic of East Texas PA
Primary Specialty: Internal Medicine
Enumeration Date: Nov 1, 2006
Last Updated: Jul 31, 2008

Practice Location

Address: 400 W CHURCH ST
City: Livingston
State: Texas
ZIP Code: 77351-3416
Phone: (936) 327-7733

Authorized Official

Name: RAVINDER R BACHIREDDY, M.D.
Title: AUTHORIZED/DELEGATED OFFICIAL
Phone: (936) 632-8787

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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