Organization
KIDS WAY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SREEKAR MARUVADA MD (OWNER)
(979) 299-6400
Entity
Organization
Contact information
Practice address
201 OAK DR S STE 105, LAKE JACKSON, TX 77566-5627
(979) 299-6400
(979) 299-6401
Mailing address
201 OAK DR S STE 105, LAKE JACKSON, TX 77566-5627
(979) 299-6400
(979) 299-6401
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
TEMPORARY
TX
Other
Enumeration date
08/07/2009
Last updated
08/07/2009
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