U.s.walgama Md Pa | |
321 Wilson St Henderson TX 75652-5957 | |
(903) 657-4509 | |
Not Available |
Full Name | U.s.walgama Md Pa |
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Speciality | Internal Medicine |
Location | 321 Wilson St, Henderson, Texas |
Authorized Official Name and Position | Upali S Walgama (PRESIDENT) |
Authorized Official Contact | 9036574509 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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U.s.walgama Md Pa 321 Wilson St Henderson TX 75652-5957 Ph: (903) 657-4509 | U.s.walgama Md Pa 321 Wilson St Henderson TX 75652-5957 Ph: (903) 657-4509 |
NPI Number | 1558652180 |
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Provider Enumeration Date | 04/30/2011 |
Last Update Date | 04/30/2011 |
Medicare PECOS PAC ID | 2264605914 |
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Medicare Enrollment ID | O20111026000031 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558652180 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | F0066 (Texas) | Primary |
Provider Name | Upali S Walgama |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1265577175 PECOS PAC ID: 9436322187 Enrollment ID: I20111026000041 |
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