PRASHANTH GUMPU SHIVASHANKAR

WICHITA FALLS, TX
NPI1356030803
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: TX  W3263)
Enumeration Date2023-05-02
Last Update Date2026-06-16
Business Address
Mr. PRASHANTH GUMPU SHIVASHANKAR
1631 11TH ST UNIT B
WICHITA FALLS, TX 76301-4332
Phone number: 940-263-3000
Mailing Address
Mr. PRASHANTH GUMPU SHIVASHANKAR
1631 11TH ST UNIT B
WICHITA FALLS, TX 76301-4332
Phone number: 940-263-3000