Vivekananda Wall
Physician at Sapphire St, Odessa, TX

License number
Colorado 43015
Issued Date
Sep 23, 2004
Renew Date
Jun 1, 2007
Expiration Date
May 31, 2009
Type
Physician
Address
Address
18 Sapphire St, Odessa, TX 79762

Personal information

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Name
Address
Phone
Vivekananda Wall
3412 Brannon Dr, Waco, TX 76710

Organization information

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Vivekananda Wall MD

500 W 4 St, Odessa, TX 79761

Industry:
Emergency Medicine
Phone:
(432) 640-1190 (Phone)
Vivekananda M S Wall


VIVEKANANDA WALL, M.D., PA

Odessa, TX  -  Waco, TX

Industry:
Medical Doctor's Office
Doing business as:
Vivekananda Wall, M.D., PA
Registration:
Oct 20, 1993
Addresses:
18 Sapphire St, Odessa, TX 79762 (Mailing)
4918 Lk Arrowhead Dr, Waco, TX 76710
State ID:
0081467803
Business type:
Professional Association
Director , Member , Officer:
Vivekananda Wall (Director , Member , Officer)
TIN:
32036023102