CHISHOLM TRAIL PEDIATRICS INC PA NPI 1114112745

NPI Information

NPI: 1114112745
Provider Name: CHISHOLM TRAIL PEDIATRICS INC PA
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
600 HIGH TECH DR
GEORGETOWN, TX
ZIP 78626
Phone: (512) 930-4776
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CHISHOLM TRAIL PEDIATRICS INC PA is a primary care clinic center in Georgetown, TX. CHISHOLM TRAIL PEDIATRICS INC PA NPI is 1114112745. The provider is registered as an organization entity type.

The provider's business location address is:

600 HIGH TECH DR
GEORGETOWN, TX
ZIP 78626-185
Phone: (512) 930-4776
Fax: (512) 863-4248

The provider's authorized official is David A Ramsey .
The authorized official title is Owner and has the following contact phone number (512) 930-4776.

The enumeration date for this NPI number is 9/6/2007 and was last updated on 9/6/2007.

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
1	261QP2300X	Clinic/Center	Primary Care		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

NPI Synchronization or Removal

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