Koppolu Incorporated
NPI #1720802945 in Liberty Hill, Texas
Provider Information
- NPI Number
- 1720802945
- Entity Type
- Organization
- Organization Name
- Koppolu Incorporated
- Primary Specialty
- In Home Supportive Care
- Enumeration Date
- Nov 13, 2024
- Last Updated
- Feb 4, 2025
Practice Location
- Address
- 9025 HIGHWAY
- Address 2
- SUITE 207
- City
- Liberty Hill
- State
- Texas
- ZIP Code
- 78642-2402
- Phone
- (512) 641-2318
Authorized Official
- Name
- MR. CHANAKYA VENKATA KOPPOLU
- Title
- PRESIDENT
- Phone
- (512) 641-2318
Specialties & Taxonomy Codes
| Specialty |
|---|
| In Home Supportive Care |
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