Organization
PEDIATRIC AND ADOLESCENT MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANJANA CHANDRAMOULI MD (PRESIDENT)
(469) 631-2243
Entity
Organization
Contact information
Practice address
3624 DRIPPING SPRINGS DR, PLANO, TX 75025-6806
(469) 631-2243
Mailing address
3624 DRIPPING SPRINGS DR, PLANO, TX 75025-6806
(469) 631-2243
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
Q2262
TX
Other
Enumeration date
06/12/2018
Last updated
06/12/2018
Update your record
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