Provider Demographics
NPI:1992002059
Name:PEDIATRICS BY DESIGN, PLLC
Entity Type:Organization
Organization Name:PEDIATRICS BY DESIGN, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:RAJITHA
Authorized Official - Middle Name:
Authorized Official - Last Name:JULAPALLI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-567-6147
Mailing Address - Street 1:33 SWEETLEAF CT
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77381-2972
Mailing Address - Country:US
Mailing Address - Phone:832-567-6147
Mailing Address - Fax:713-529-5825
Practice Address - Street 1:33 SWEETLEAF CT
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77381-2972
Practice Address - Country:US
Practice Address - Phone:832-567-6147
Practice Address - Fax:713-529-5825
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-24
Last Update Date:2011-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN2588261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care