Duncanville Children's Pediatric Care PLLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

P7550 Issued in TX

Legal business name

DUNCANVILLE CHILDREN'S PEDIATRIC CARE PLLC

Practice address

777 E Wheatland Rd
Suite 108
Duncanville, TX 75116-4918

Phone

(917) 972-3247

Fax

(917) 972-3247

NPI assigned

Nov 25, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sudath G Rannulu, MDNPI 1932361078

Title

Medical Director

Phone

(917) 972-3247

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sudath Gunadeera Rannulu, M.D.

  • Pediatrics Physician
  • Fort Worth, TX
  • NPI 1932361078
  NPD (past) Authorized official
• Andrew Nguyen Dao, FNP-C

  • Family Nurse Practitioner
  • Fort Worth, TX
  • NPI 1447752852
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416873600000",
    "number": "1619374394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 E WHEATLAND RD",
            "address_2": "SUITE 108",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751164918",
            "telephone_number": "917-972-3247",
            "fax_number": "917-972-3247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 E WHEATLAND RD",
            "address_2": "SUITE 108",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751164918",
            "telephone_number": "917-972-3247",
            "fax_number": "917-972-3247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNCANVILLE CHILDREN'S PEDIATRIC CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-25",
        "last_updated": "2014-11-25",
        "status": "A",
        "authorized_official_last_name": "RANNULU",
        "authorized_official_first_name": "SUDATH",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "917-972-3247",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "P7550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr - Duncanville, LLC (Dental Republic)
• Dr Mija Jackson Lee PLLC
• Dr Tracey L Yothers, OD
• Brett Warren Duke
• Marcellous Dunbar, DC
• Duncanville Dentures and Dental Implants, PLLC.
• Duncanville Eye Associates, P. a.
• Duncanville Isd
• Larry Alan Dunn, D.D.S.
• Frank Durand

• Medical Specialty Clinic/Center in Duncanville, TX
• Providers in Duncanville, TX by specialty
• Medical Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.