Organization
PEDIATRIC DEPOT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSHNI PATEL NP (MANAGING MEMBER)
(972) 210-7350
Entity
Organization
Contact information
Practice address
1446 W MOORE AVE STE 206, TERRELL, TX 75160-2372
(972) 210-7350
(972) 210-7355
Mailing address
1446 W MOORE AVE STE 206, TERRELL, TX 75160-2372
(972) 210-7350
(972) 210-7355
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
09/26/2019
Last updated
06/11/2025
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