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SPRINGTIME PEDIATRICS NPI 1891161626


NPI Information

NPI: 1891161626
Provider Name: SPRINGTIME PEDIATRICS
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 45D2103787

Address:
23530 KINGSLAND BLVD.
STE. 100
KATY, TX
ZIP 77494
Phone: (832) 844-1470
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SPRINGTIME PEDIATRICS is a pediatrics in Katy, 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. SPRINGTIME PEDIATRICS NPI is 1891161626. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

23530 KINGSLAND BLVD.
STE. 100
KATY, TX
ZIP 77494
Phone: (832) 844-1470

The provider's authorized official is Yasmine S Monib .
The authorized official title is Pediatrician/owner and has the following contact phone number (832) 844-1470.

The CLIA number assigned to this NPI record is 45D2103787 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/17/2015 and was last updated on 1/24/2017.


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
1208000000XPediatricsP5845TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1327121504MEDICAIDTEXAS

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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