Organization
OVER THE MOON PEDIATRICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE ANGELINE SUHENDRA MD (OWNER)
(832) 640-8382
Entity
Organization
Contact information
Practice address
17189 I-45 SOUTH, SUITE 235, THE WOODLANDS, TX 77385
(832) 539-7532
(888) 450-0782
Mailing address
17189 I-45 SOUTH, SUITE 235, THE WOODLANDS, TX 77385-4793
(832) 539-7532
(832) 336-3809
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
11/19/2019
Last updated
05/17/2022
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