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CLINICA BETESDA CORPORATION NPI 1154715977


NPI Information

NPI: 1154715977
Provider Name: CLINICA BETESDA CORPORATION

Doing Business As: PFLUGERVILLE OBGYN

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 45D2267622

Address:
1100 GRAND AVENUE PKWY
PFLUGERVILLE, TX
ZIP 78660
Phone: (512) 579-7249
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CLINICA BETESDA CORPORATION is a clinic center in Pflugerville, TX. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). CLINICA BETESDA CORPORATION NPI is 1154715977. The provider is registered as an organization entity type.
The provider Is Doing Business As Pflugerville Obgyn.

The provider's business location address is:

1100 GRAND AVENUE PKWY
PFLUGERVILLE, TX
ZIP 78660-194
Phone: (512) 579-7249
Fax: (512) 551-0047

The provider's authorized official is Maria Elena Gutierrez .
The authorized official title is Ceo and has the following contact phone number (512) 587-0732.

The CLIA number assigned to this NPI record is 45D2267622 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/19/2015 and was last updated on 9/15/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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