Diabetes Center of the Southwest, PA

NPI #1407998032 in Midland, Texas

Provider Information

NPI Number: 1407998032
Entity Type: Organization
Organization Name: Diabetes Center of the Southwest, PA
Primary Specialty: Specialist
Enumeration Date: Feb 12, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 10 DESTA DR
Address 2: SUITE 190
City: Midland
State: Texas
ZIP Code: 79705-4515
Phone: (432) 686-0000

Authorized Official

Name: DR. G M GOLLAPUDI, M.D.
Title: PRESIDENT
Phone: (432) 686-0000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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