SITA M DEVULAPALLI, MD, PA
Ambulatory Health at Walnut Hill Dr, Longview, TX

License number
Texas K4038
Category
Ambulatory Health
Type
Primary Care
Owner
Name: SITA MAHALAKSHMI DEVULAPALLI MD
Title: PRESIDENT
Phone: (903) 234-9500
Address
Address
903 Walnut Hill Dr SUITE 1, Longview, TX 75605
National Provider ID: 1457472110
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SITA M. DEVULAPALLI, M.D., PA

903 Walnut Hl Dr STE 1, Longview, TX 75605

Doing business as:
Sita M. Devulapalli, M.D., PA<br>Sita M Devulapalli MD
Registration:
Sep 18, 1997
Phone:
(903) 234-9500 (Phone)
State ID:
0081838603
Business type:
Professional Association
President , Treasurer , Secretary , Director , Member , Vice-President:
Sita M. Devulapalli (President , Treasurer , Secretary , Director , Member , Vice-President)
TIN:
32036008384

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