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Organization
PEDS CENTER OF ROUND ROCK PA
Active
Organization
PEDS CENTER OF ROUND ROCK PA
Active
Parent organization
PEDS CENTER OF ROUND ROCK PA
Other names
River Ridge Pediatrics
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEDS CENTER OF ROUND ROCK PA
Authorized official
VIVEKANANDA DASARI M.D. (OWNER)
(201) 289-7621
Entity
Organization
Contact information
Practice address
1526 LEANDER RD, GEORGETOWN, TX 78628-8801
(512) 863-7586
(512) 863-5222
Mailing address
1526 LEANDER RD, GEORGETOWN, TX 78628-8801
(512) 863-7586
(512) 863-5222
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
11/27/2017
Last updated
11/27/2017
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