VIKRAM VADYALA PLLC
Osteopathic Medicine at 42 St, Odessa, TX

License number
Texas P2073
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: VIKRAM VADYALA MD
Title: OWNER
Phone: (248) 722-0061
Address
Address
2000 E 42Nd St SUITE C-388, Odessa, TX 79762
National Provider ID: 1336530427
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about VIKRAM VADYALA PLLC at bizstanding.com

VIKRAM VADYALA PLLC

2000 E 42 St STE C-388, Odessa, TX 79762

Registration:
Jul 21, 2014
State ID:
0802029882
Agent:
Vikram R Vadyala,2000 E 42 St SUITE C-388, Odessa, TX 79762 (Physical)
TIN:
32054672681

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