Most Relevant Information
Provider Data
| NPI Number: | 1003546565 |
| Provider Name: | ROY SUBASH KONDAPAVULURU MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/15/2022 |
| Last Updated: | 06/15/2022 |
Provider Practice Location
1401 E 8TH ST
WESLACO
TX
785966640
Practice Location Phone/Fax
| Phone: | 6157082623 |
| Fax: |
Provider Mailing Location
1401 E 8TH ST
WESLACO
TX
785966640
Provider Mailing Phone/Fax
| Phone: | 6157082623 |
| Fax: |