NPI 1366008294

Bodavula Pediatrics PLLC

Organisation Pediatrics Physician Garland, TX

Practice location

Address: 6448 Broadway Blvd, Garland, TX 75043-7504
Phone: (972) 216-8500
Fax: (972) 216-8521
Mailing address: 6448 Broadway Blvd, Garland, TX 75043-5943

Authorised official

Name: Phani Bodavula
Title: Owner
Phone: (314) 620-5823

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X

Other Pediatrics providers in Texas →

Registry record

NPI: 1366008294
Entity type: Organization
NPI issued: 16 May 2019
Record last updated: 20 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.