JUST 4 KIDS PEDIATRICS LLP NPI 1962840074

NPI Information

NPI: 1962840074
Provider Name: JUST 4 KIDS PEDIATRICS LLP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Organization

Specialization: Pediatrics

CLIA Number: 45D2014424

Address:
2503 S MAIN ST
SUITE C
STAFFORD, TX
ZIP 77477
Phone: (281) 261-5800
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JUST 4 KIDS PEDIATRICS LLP is a pediatrics nurse practitioner in Stafford, TX. JUST 4 KIDS PEDIATRICS LLP NPI is 1962840074. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2503 S MAIN ST
SUITE C
STAFFORD, TX
ZIP 77477-544
Phone: (281) 261-5800
Fax: (281) 261-5885

The provider's authorized official is Shainy Benny Varghese .
The authorized official title is Director/provider and has the following contact phone number (281) 261-5800.

The CLIA number assigned to this NPI record is 45D2014424 - other - nurse practitioner clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/11/2013 and was last updated on 12/16/2022.

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	363LP0200X	Nurse Practitioner	Pediatrics	603668	TEXAS	Yes

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
1	537132	OTHER	TEXAS	STATE LICENCE
2	210617101	MEDICAID	TEXAS
3	603668	OTHER	TEXAS	STATE LICENSE

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

NPI Synchronization or Removal

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