NPI age
19 years
Enumerated 2006-06-09
● Active
Type 1 · Individual
DR. Vasudeva M Bommanna, MD
Bommanna is 1 of 1 allergy & immunology providers in Nacogdoches and 1 of 134 in Texas.
Primary specialty
Allergy & Immunology
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-16
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 134 active allergy & immunology providers in Texas.
NPI age
19 years
≈ at median (19 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
1
In the 31% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-06Enumerated in NPPES
2006
2026
Where they practice
Practice location
607 Russell Blvd, Suite ' B
Nacogdoches, TX 759651247
Mailing address
607 Russell Blvd, Suite ' B
Nacogdoches, TX 759651247
Specialties
-
Allergy & Immunology PrimaryA physician who specializes in the diagnosis, treatment, and management of allergies.
-
Allergy & ImmunologyAn allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 612574 | MEDICARE # FOR WEBSTER |
| 01 (TX) | 0020CF | BLUE CROSS # |
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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