Organization
PEDIATRIC ENDOCRINE AND DIABETES ASSOCIATES, PLLC
Active
Other names
Genesis Pediatric Endocrinology
Organization subpart
No
Provider details
NPI number
Authorized official
SHRIRAM KRISHNAN (PRACTICE DIRECTOR)
(216) 502-6465
Entity
Organization
Contact information
Practice address
5105 S MCCOLL RD, EDINBURG, TX 78539-8278
(956) 307-9254
(949) 863-2674
Mailing address
5105 S MCCOLL RD, EDINBURG, TX 78539-8278
(956) 307-9254
(949) 863-2674
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3540221
—
TX
Enumeration date
07/09/2014
Last updated
07/21/2022
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