Organization
PEDS CENTER OF ROUND ROCK PA
Active
Other names
Midland Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
VIVEKANAND DASARI MD (OWNER)
(201) 289-7621
Entity
Organization
Contact information
Practice address
1701 N LOOP 250 W, MIDLAND, TX 79707-6002
(432) 522-5033
(432) 522-5077
Mailing address
1701 N LOOP 250 W, MIDLAND, TX 79707-6002
(432) 522-5033
(432) 522-5077
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
10/02/2018
Last updated
10/02/2018
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