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Organization
DUNCANVILLE CHILDREN'S PEDIATRIC CARE PLLC
Active
Organization
DUNCANVILLE CHILDREN'S PEDIATRIC CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUDATH G RANNULU MD (MEDICAL DIRECTOR)
(917) 972-3247
Entity
Organization
Contact information
Practice address
777 E WHEATLAND RD, SUITE 108, DUNCANVILLE, TX 75116-4918
(917) 972-3247
(917) 972-3247
Mailing address
777 E WHEATLAND RD, SUITE 108, DUNCANVILLE, TX 75116-4918
(917) 972-3247
(917) 972-3247
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
P7550
TX
Other
Enumeration date
11/25/2014
Last updated
11/25/2014
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