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Organization

PEDIATRIC ASSOCIATES OF CONVERSE, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUBHASHINI S VALAVALKAR M.D. (DOCTOR)
(210) 281-5507
Entity
Organization

Contact information

Practice address
9135 SCHAEFER RD, STE 4, CONVERSE, TX 78109-1979
(210) 281-5507
(210) 290-9791
Mailing address
9135 SCHAEFER RD, STE 4, CONVERSE, TX 78109-1979
(210) 281-5507
(210) 290-9791

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
N7595
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1235101106
TX
Enumeration date
01/14/2013
Last updated
01/14/2013
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