Peds Center of Round Rock PA

NPI #1508370701 in Georgetown, Texas

Provider Information

NPI Number: 1508370701
Entity Type: Organization
Organization Name: Peds Center of Round Rock PA
Subpart: Yes (part of a larger organization)
Parent Organization: PEDS CENTER OF ROUND ROCK PA
Primary Specialty: Pediatrics
Enumeration Date: Nov 27, 2017
Last Updated: Nov 27, 2017

Practice Location

Address: 1526 LEANDER RD
City: Georgetown
State: Texas
ZIP Code: 78628-8801
Phone: (512) 863-7586

Authorized Official

Name: VIVEKANANDA DASARI, M.D.
Title: OWNER
Phone: (201) 289-7621

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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