Ramakrishna Pemmaraju Rao Md | |
6410 Southwest Blvd Ste 225 Benbrook TX 76109-3920 | |
(214) 551-1008 | |
(817) 625-3062 |
Full Name | Ramakrishna Pemmaraju Rao Md |
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Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | 6410 Southwest Blvd Ste 225, Benbrook, Texas |
Authorized Official Name and Position | Ramakrishna Pemmaraju Rao (PHYSCIAN) |
Authorized Official Contact | 8175709977 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ramakrishna Pemmaraju Rao Md 6410 Southwest Blvd Ste 225 Benbrook TX 76109-3920 Ph: (817) 570-9977 | Ramakrishna Pemmaraju Rao Md 6410 Southwest Blvd Ste 225 Benbrook TX 76109-3920 Ph: (214) 551-1008 |
NPI Number | 1821356353 |
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Provider Enumeration Date | 05/03/2012 |
Last Update Date | 05/08/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821356353 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | H5290 (Texas) | Primary |
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