Bopanna Muckatira Md, Pa

LBN: Bopanna Muckatira Md, Pa
Bopanna Muckatira Md, Pa is an health care organization with primary practice located at 1904 Pine St 1 E, Abilene TX 79601-2449. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Bopanna Muckatira Md, Pa can be contacted via phone (325) 670-6900, or through Muckatira, Bopanna via phone (325) 670-6900.

Contact Information

Primary practice address
1904 Pine St 1 E Abilene TX 79601-2449
Phone: (325) 670-6900
Fax: (325) 670-6905
Website:
Map and Directions
Authorized official contact:
Name: Muckatira, Bopanna Doctor of Medicine (MD)
Phone: (325) 670-6900

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1922250059
LBN Legal business name Bopanna Muckatira Md, Pa
DBA Doing business as
Authorized official Muckatira, Bopanna Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 21st, 2008
Last updated May 1st, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922250059 NPPES
Texas Other 0059 NA BCBS
Texas MEDICAID 1795775-01 BCBS

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