Organization
MEMORIAL-SPRING BRANCH NEONATOLOGY CONSULTANTS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
POOVAMMA M BADUVAMANDA M.D. (PARTNER)
(281) 412-2494
Entity
Organization
Contact information
Practice address
14027 MEMORIAL DR # 252, HOUSTON, TX 77079-6826
(281) 412-2494
(281) 412-2495
Mailing address
PO BOX 975190, DALLAS, TX 75397-5190
(281) 412-2494
(281) 412-2495
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
H5596
TX
2080N0001X
Neonatal-Perinatal Medicine Physician
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Other
Enumeration date
02/01/2007
Last updated
02/07/2011
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