VIVEKANANDA WALL
Medical Practice at Lk Arrowhead Dr, Waco, TX

License number
Florida 55574
Issued Date
Jul 17, 1989
Effective Date
Jan 8, 2001
Expiration Date
Jan 31, 2002
Category
Health Care
Type
Medical Doctor
Address
Address
4918 Lake Arrowhead Dr, Waco, TX 76710
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Organization information

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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

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