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Organization
WEST TEXAS DEVELOPMENTAL PEDIATRIC & BEHAVORIAL HEALTH NETWORK, P.A.
Active
Organization
WEST TEXAS DEVELOPMENTAL PEDIATRIC & BEHAVORIAL HEALTH NETWORK, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BHUPALA RAJU KALLEPALLI M.D. (PRESIDENT)
(806) 281-9966
Entity
Organization
Contact information
Practice address
3301 101ST ST, LUBBOCK, TX 79423-4045
(806) 281-9966
(806) 281-9964
Mailing address
PO BOX 54136, LUBBOCK, TX 79453-4136
(806) 771-1386
(806) 771-1388
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0062EB
BCBS
TX
Enumeration date
08/30/2006
Last updated
09/11/2025
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