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PEDIATRIC KIDS LAND CLINIC P.A. NPI 1871773010


NPI Information

NPI: 1871773010
Provider Name: PEDIATRIC KIDS LAND CLINIC P.A.
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
4109 N CONWAY AVE
PALMHURST, TX
ZIP 78573
Phone: (956) 451-4221
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PEDIATRIC KIDS LAND CLINIC P.A. is a specialist in Palmhurst, TX. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PEDIATRIC KIDS LAND CLINIC P.A. NPI is 1871773010. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4109 N CONWAY AVE
PALMHURST, TX
ZIP 78573-309
Phone: (956) 451-4221
Fax: (956) 994-1696

The provider's authorized official is Fadi M Torres .
The authorized official title is Owner and has the following contact phone number (956) 451-4221.

The enumeration date for this NPI number is 11/5/2007 and was last updated on 11/6/2007.


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
1174400000XSpecialistYes

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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