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General NPI Number Information
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NPI Number | 1699607168
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Entity Type | Organization
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Legal Business Name | KRISHNA PABBA MD PLLC
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Dates
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Enumeration Date | 06/01/2026
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Last Update Date | 06/01/2026
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Provider Practice Location Address
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Address Line | 1308 PEAKS VIEW LN STE 110
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City | CELINA
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State | TX
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Zip | 75009-5783
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Country | US
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Telephone | 817-874-1754
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Fax |
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Provider Business Mailing Address
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Address Line | 7008 VALOR TRL
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City | TEMPLE
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State | TX
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Zip | 76502-2082
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KRISHNA PABBA
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Credential | MD
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Telephone | 817-874-1754
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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