Provider Demographics
NPI:1982278479
Name:LUVNCARE PEDIATRICS, LLC
Entity Type:Organization
Organization Name:LUVNCARE PEDIATRICS, LLC
Other - Org Name:WHITE CLOUD PEDIATRICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ANSHU
Authorized Official - Middle Name:
Authorized Official - Last Name:DALELA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:682-297-5437
Mailing Address - Street 1:706 MANCHESTER CT
Mailing Address - Street 2:
Mailing Address - City:SOUTHLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76092-8930
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4909 GOLDEN TRIANGLE BLVD STE 231
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76244-4480
Practice Address - Country:US
Practice Address - Phone:682-297-5437
Practice Address - Fax:682-228-6447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-18
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Single Specialty