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NPI Code Detail

MEDICARE: SRINIVASACHARI VATSALA MD

MEDICARE:   SRINIVASACHARI  VATSALA  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology PhysicianF6148TX

General Provider Information

NPI Number : 1104823483
Entity Type Code : Individual
Provider Name (Legal Business Name) : SRINIVASACHARI VATSALA MD
Provider Business Mailing Address
First Line : 6560 FANNIN ST
Second Line : STE 1840, SCURLOCK TOWER
City : HOUSTON
State : TX
Zip : 77030-2761
Country : US
Telephone Number : 713-799-2050
Fax Number : 713-799-2951
Provider Business Practice Location Address
First Line : 6560 FANNIN ST
Second Line : STE 1840
City : HOUSTON
State : TX
Zip : 77030-2761
Country : US
Telephone Number : 713-799-2050
Fax Number : 713-799-2951
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2005
Last Update Date : 07/08/2007

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Directions to “ SRINIVASACHARI VATSALA MD” Practice Location

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