REVANTH POONDLA

GEORGETOWN, TX
NPI1356043475
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: TX  V9100)
Enumeration Date2023-03-21
Last Update Date2025-11-20
Business Address
REVANTH POONDLA MD
4945 WILLIAMS DR
GEORGETOWN, TX 78633-2008
Phone number: 512-819-0500
Mailing Address
REVANTH POONDLA MD
PO BOX 844658
DALLAS, TX 75284-4658
Phone number: 800-994-0371
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