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THE CHILDREN'S CLINIC OF WOODVILLE PLLC NPI 1629248125


NPI Information

NPI: 1629248125
Provider Name: THE CHILDREN'S CLINIC OF WOODVILLE , PLLC
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
900 W BLUFF ST.
WOODVILLE, TX
ZIP 75979
Phone: (409) 283-2090
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THE CHILDREN'S CLINIC OF WOODVILLE , PLLC is a pediatrics in Woodville, TX. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. THE CHILDREN'S CLINIC OF WOODVILLE , PLLC NPI is 1629248125. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

900 W BLUFF ST.
WOODVILLE, TX
ZIP 75979
Phone: (409) 283-2090
Fax: (409) 283-2097

The provider's authorized official is Jeffery L Glass .
The authorized official title is Managing Provider and has the following contact phone number (936) 634-2214.

The enumeration date for this NPI number is 3/11/2008 and was last updated on 5/5/2021.


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
1208000000XPediatricsYes

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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