SUPERIOR PEDIATRICS NPI 1881811149

NPI Information

NPI: 1881811149
Provider Name: SUPERIOR PEDIATRICS
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
3105 IRA E WOODS AVE
GRAPEVINE, TX
ZIP 76051
Phone: (817) 416-5372
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SUPERIOR PEDIATRICS is a primary care clinic center in Grapevine, TX. SUPERIOR PEDIATRICS NPI is 1881811149. The provider is registered as an organization entity type.

The provider's business location address is:

3105 IRA E WOODS AVE
GRAPEVINE, TX
ZIP 76051-891
Phone: (817) 416-5372
Fax: (817) 416-5372

The provider's authorized official is Remigio Gungon Capati .
The authorized official title is Medical Director and has the following contact phone number (817) 416-5372.

The enumeration date for this NPI number is 4/19/2007 and was last updated on 7/3/2008.

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
1	261QP2300X	Clinic/Center	Primary Care	J5220	TEXAS	Yes

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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