Individual ProviderShravan VallalaPediatricsAllopathic & Osteopathic PhysiciansPractice Address1935 Medical District Dr, Dallas, TX 75235-7701(214) 456-0488(713) 798-1750PECOS EnrollmentBased on the most recent information from CMS, provider Shravan Vallala is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 11:48 AM.Profile DetailsProvider ID1104152487Provider TypeIndividualFull NameVallala, ShravanTitleDr.CredentialM.DGenderMaleSole ProprietorYesEnumeration Date10/21/2009Last Updated12/19/2025Contact InformationPractice LocationPractice Address1935 Medical District Dr, Dallas, TX 75235-7701Phone(214) 456-0488FaxUnlisted FaxMailing LocationMailing Address333 N Santa Rosa, San Antonio, TX 78207-3108Phone(713) 798-1750Fax(713) 798-4693Provider TaxonomiesCodeDescriptionLicenseCode208000000XPrimaryDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseP3474TexasCode208000000XDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicense57.016708Ohio