PHANI BODAVULA

GARLAND, TX
NPI1700204690
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: TX  r5085)
Additional Taxonomies208000000X Pediatrics
(Licence: WI  67368)
Enumeration Date2014-03-28
Last Update Date2022-07-21
Business Address
Dr. PHANI BODAVULA M.D.
6448 BROADWAY BLVD
GARLAND, TX 75043
Phone number: 972-216-8500
Mailing Address
Dr. PHANI BODAVULA M.D.
6448 BROADWAY BLVD
GARLAND, TX 75043-5943
Phone number: 972-216-8500
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