| NPI | 1922281641 |
|---|---|
| Doing Business As | KIDS DOC CC |
| Entity Type | Organization |
| Authorized Contact | DANIEL VIJJESWARAPU CEO 361-814-8453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX k7115) |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2009-01-05 |