Over the Moon Pediatrics, Pllc
NPI #1104462753 in The Woodlands, Texas
Provider Information
- NPI Number
- 1104462753
- Entity Type
- Organization
- Organization Name
- Over the Moon Pediatrics, Pllc
- Primary Specialty
- Pediatrics
- Enumeration Date
- Nov 19, 2019
- Last Updated
- May 17, 2022
Practice Location
- Address
- 17189 I-45 SOUTH
- Address 2
- SUITE 235
- City
- The Woodlands
- State
- Texas
- ZIP Code
- 77385
- Phone
- (832) 539-7532
Authorized Official
- Name
- DR. MICHELLE ANGELINE SUHENDRA, MD
- Title
- OWNER
- Phone
- (832) 640-8382
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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