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CAREVILLE PEDIATRICS PA NPI 1760879670


NPI Information

NPI: 1760879670
Provider Name: CAREVILLE PEDIATRICS, PA
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 45D2104725

Address:
1003 N SAINT MARYS ST
BEEVILLE, TX
ZIP 78102
Phone: (361) 492-5252
Get Directions

CAREVILLE PEDIATRICS, PA is a pediatrics in Beeville, 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. CAREVILLE PEDIATRICS, PA NPI is 1760879670. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1003 N SAINT MARYS ST
BEEVILLE, TX
ZIP 78102-420
Phone: (361) 492-5252

The provider's authorized official is Ifeanyi Mbadugha .
The authorized official title is Medical Director and has the following contact phone number (361) 492-5252.

The CLIA number assigned to this NPI record is 45D2104725 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/17/2015 and was last updated on 4/8/2016.


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
1208000000XPediatricsP2492TEXASYes

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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