Organization
CENTRAL TEXAS PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUDHIR MADISETTY MD (OWNER)
(254) 772-0783
Entity
Organization
Contact information
Practice address
1607 LAKE SUCCESS DR, WACO, TX 76710-2908
(254) 772-0783
Mailing address
1607 LAKE SUCCESS DR, WACO, TX 76710-2908
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
J3846
TX
Other
Enumeration date
09/24/2007
Last updated
04/03/2014
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