Organization
DANIEL VIJJESWARAPU M.D. P.A.
Active
Other names
Kids Doc CC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL VIJJESWARAPU M.D. (CEO)
(361) 814-8453
Entity
Organization
Contact information
Practice address
3240 FORT WORTH ST, SUITE 111, CORPUS CHRISTI, TX 78411-2459
(361) 814-8453
(361) 814-0487
Mailing address
3240 FORT WORTH ST, SUITE 111, CORPUS CHRISTI, TX 78411-2459
(361) 814-8453
(361) 814-0487
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
K7115
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127087807
—
TX
05
—
159629801
—
TX
05
—
159629803
—
TX
Enumeration date
12/17/2007
Last updated
01/05/2009
Update your record
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