DR. VASUDEVA M BOMMANNA, MD
Osteopathic Medicine at Russell Blvd, Nacogdoches, TX

License number
Texas K 3685
Category
Osteopathic Medicine
Type
Allergy & Immunology
License number
Texas K 3685
Category
Osteopathic Medicine
Type
Allergy
Address
Address
607 Russell Blvd, Nacogdoches, TX 75965
Phone
(936) 559-7750
(936) 559-7807 (Fax)
National Provider ID: 1477594836
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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VASUDEVA M. BOMMANNA, M.D., PA

607 Russell Blvd STE B, Nacogdoches, TX 75965

Doing business as:
Vasudeva M. Bommanna, M.D., PA<br>Vasudeva Bommanna MD
Registration:
Dec 20, 2005
Phone:
(936) 559-7750 (Phone)
State ID:
0800587363
Business type:
Professional Association
President , Treasurer , Secretary , Director , Member , Vice-President:
Vasudeva M. Bommanna (President , Treasurer , Secretary , Director , Member , Vice-President)
TIN:
32037103200

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