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Organization
REDDY CHILDRENS CLINIC, P.A
Active
Organization
REDDY CHILDRENS CLINIC, P.A
Active
Parent organization
REDDY CHILDRENS CLINIC, P.A.
Organization subpart
Yes
Provider details
NPI number
Legal business name
REDDY CHILDRENS CLINIC, P.A.
Authorized official
DR. SURAPUREDDY SEETHARAM REDDY M.D (PRESIDENT)
(956) 425-4700
Entity
Organization
Contact information
Practice address
1821 S SESAME SQ, SUITE#8, HARLINGEN, TX 78550-9288
(956) 425-4700
(956) 425-6260
Mailing address
1821 S SESAME SQ, SUITE#8, HARLINGEN, TX 78550-9288
(956) 425-4700
(956) 425-6260
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
L0535
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043239502
—
TX
01
—
123984
SUPERIOR HEALTH PLAN
TX
01
—
129771101
VALLEY HEALTH PLANS
TX
01
—
8K9920
BCBSTX
TX
Enumeration date
04/23/2007
Last updated
06/14/2011
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