Organization
PEDISTAT L.P.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAGINI PRAKASH MIRYALA M.D. (OWNER)
(832) 215-8884
Entity
Organization
Contact information
Practice address
205 E MEDICAL CENTER BLVD STE 101, WEBSTER, TX 77598-4376
(832) 215-8884
Mailing address
3017 S ISLAND DR, SEABROOK, TX 77586-1649
(832) 215-8884
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/24/2014
Last updated
01/24/2014
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