Organization
NORTH DALLAS PEDIATRICS ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VENKATA BODAVULA MD (OWNER)
(914) 563-2943
Entity
Organization
Contact information
Practice address
6448 BROADWAY BLVD, GARLAND, TX 75043-5943
(972) 216-8500
Mailing address
6448 BROADWAY BLVD, GARLAND, TX 75043-5943
(972) 216-8500
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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