Most Relevant Information
Provider Data
| NPI Number: | 1003198391 |
| Provider Name: | VARALAXMI BHAVANI NANNAKA M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207RC0200X |
| Specialty: | Internal Medicine |
| License Number: | R2182 |
Most Important Dates
| Enumeration Date: | 09/13/2011 |
| Last Updated: | 11/21/2019 |
Provider Practice Location
912 S FLEISHEL AVE
TYLER
TX
757012018
Practice Location Phone/Fax
| Phone: | 9035926901 |
| Fax: |
Provider Mailing Location
912 S FLEISHEL AVE
TYLER
TX
757012018
Provider Mailing Phone/Fax
| Phone: | 9035926901 |
| Fax: |