| Doctor Name: | DR. VENKATA A VALLURY |
| NPI Number: | 1356346241 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 036069911 |
| Business Practice Address: | 5334 Ross Ave Ste 900a Dallas, TX - 752067453 |
| Business Phone Number: | 2148841706 |
| Business Fax Number: | 2148841711 |
| Mailing Address: | 300 E John Carpenter Fwy, Ste 850 IRVING |
| State: | TX |
| Postal Code: | 750622727 |
| Phone Number: | 9729573000 |
| Fax Number: | 9729573005 |
| NPI Enumeration Date: | 06/16/2005 |
| NPI Last Update Date: | 05/03/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 036069911 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |