# RAMAKRISHNA PEMMARAJU RAO MD

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** RAMA PEMMARAJU RAO MD
- **Other names:** Rama Pemmaraju Rao MD
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1821356353
- **Legal business name:** RAMA PEMMARAJU RAO MD
- **Authorized official:** DR. RAMAKRISHNA PEMMARAJU RAO II M.D (PHYSCIAN)
- **Authorized official phone:** (817) 570-9977

## Contact information

- **Practice address:** 6410 SOUTHWEST BLVD STE 225, BENBROOK, TX 76109-3920
- **Practice address phone:** (214) 551-1008
- **Practice address fax:** (817) 625-3062
- **Mailing address:** 6410 SOUTHWEST BLVD STE 225, BENBROOK, TX 76109-3920
- **Mailing address phone:** (817) 570-9977
- **Mailing address fax:** (817) 625-3062

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | H5290 | TX | Yes |

## Other

- **Enumeration date:** 05/03/2012
- **Last updated:** 05/08/2012