Peds Center of Round Rock PA

Organization Active NPI Pediatrics Physician · Elgin, TX

NPI 1033767975 · NPPES record last updated Sep 3, 2019

Key facts

NPI
1033767975
Entity type
Organization (NPI type 2)
Primary specialty
Pediatrics Physician 208000000X
Legal business name
PEDS CENTER OF ROUND ROCK PA
Practice address
218 W US Highway 290
Elgin, TX 78621-3265
Phone
(512) 281-1900
Fax
(512) 285-4100
NPI assigned
Sep 3, 2019
Organization subpart
No

Authorized official

Name
Mr. Vivekanand Dasari, MD
Title
Owner
Phone
(512) 733-5437

Corporate family (same tax ID) 7

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Pediatric Center of Round Rock (8 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208000000X Yes

Addresses

Primary practice location

218 W US Highway 290
Elgin, TX 78621-3265

Mailing address

7700 Cat Hollow Dr Ste 104
Round Rock, TX 78681-5797
Phone (512) 733-5437

Other providers in Elgin, TX

All providers in Elgin, TX · Pediatrics Physician in Texas

Sources for this page

Verify at the official NPI Registry.