Vasantha Agusala, M.D Valid NPI

Individual provider · Adult Medicine Physician · Odessa, TX

NPI

1619006228

Type

Individual (Type 1)

Primary specialty

Adult Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207QA0505X

License number

K3962 (TX)

Sex

Female

Sole proprietor

No

Enumerated

2007-03-02

Last updated

2007-07-08