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1366008294
BODAVULA PEDIATRICS PLLC
GARLAND, TX
NPI
1366008294
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Entity Type
Organization
Authorized Contact
PHANI BODAVULA
Owner
314-620-5823
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
Enumeration Date
2019-05-16
Last Update Date
2021-08-05
Business Address
BODAVULA PEDIATRICS PLLC
6448 BROADWAY BLVD
GARLAND, TX 75043-7504
Phone number: 972-216-8500
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Mailing Address
BODAVULA PEDIATRICS PLLC
6448 BROADWAY BLVD
GARLAND, TX 75043-5943
Phone number: 972-216-8500
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