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DUNCANVILLE CHILDREN'S PEDIATRIC CARE PLLC NPI 1619374394


NPI Information

NPI: 1619374394
Provider Name: DUNCANVILLE CHILDREN'S PEDIATRIC CARE PLLC
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
777 E WHEATLAND RD
SUITE 108
DUNCANVILLE, TX
ZIP 75116
Phone: (917) 972-3247
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DUNCANVILLE CHILDREN'S PEDIATRIC CARE PLLC is a medical specialty clinic center in Duncanville, TX. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). DUNCANVILLE CHILDREN'S PEDIATRIC CARE PLLC NPI is 1619374394. The provider is registered as an organization entity type.

The provider's business location address is:

777 E WHEATLAND RD
SUITE 108
DUNCANVILLE, TX
ZIP 75116-918
Phone: (917) 972-3247
Fax: (917) 972-3247

The provider's authorized official is Sudath G Rannulu .
The authorized official title is Medical Director and has the following contact phone number (917) 972-3247.

The enumeration date for this NPI number is 11/25/2014 and was last updated on 11/25/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM2500XClinic/CenterMedical SpecialtyP7550TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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