| Professional Association | |
|
10555 Vista Del Sol Dr Suite 115 El Paso TX 79925-7942 | |
| (915) 633-9317 | |
| (915) 633-8676 |
| Full Name | Professional Association |
|---|---|
| Speciality | Family Medicine |
| Location | 10555 Vista Del Sol Dr, El Paso, Texas |
| Authorized Official Name and Position | Srinivasa Reddy Aaluri (OWNER) |
| Authorized Official Contact | 9156339317 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Association 10555 Vista Del Sol Dr Suite 115 El Paso TX 79925-7942 Ph: (915) 633-9317 | Professional Association 10555 Vista Del Sol Dr Suite 115 El Paso TX 79925-7942 Ph: (915) 633-9317 |
| NPI Number | 1649271651 |
|---|---|
| Provider Enumeration Date | 08/02/2005 |
| Last Update Date | 02/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649271651 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | L9590 (Texas) | Primary |
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