| Kids Way Clinic | |
|
201 Oak Dr S Ste 105 Lake Jackson TX 77566-5627 | |
| (979) 299-6400 | |
| (979) 299-6401 |
| Full Name | Kids Way Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 201 Oak Dr S Ste 105, Lake Jackson, Texas |
| Authorized Official Name and Position | Sreekar Maruvada (OWNER) |
| Authorized Official Contact | 9792996400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Way Clinic 201 Oak Dr S Ste 105 Lake Jackson TX 77566-5627 Ph: (979) 299-6400 | Kids Way Clinic 201 Oak Dr S Ste 105 Lake Jackson TX 77566-5627 Ph: (979) 299-6400 |
| NPI Number | 1932330917 |
|---|---|
| Provider Enumeration Date | 08/07/2009 |
| Last Update Date | 08/07/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932330917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | TEMPORARY (Texas) | Primary |
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