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PEDS CENTER OF ROUND ROCK PA NPI 1508370701


NPI Information

NPI: 1508370701
Provider Name: PEDS CENTER OF ROUND ROCK PA

Doing Business As: RIVER RIDGE PEDIATRICS

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
1526 LEANDER RD
GEORGETOWN, TX
ZIP 78628
Phone: (512) 863-7586
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PEDS CENTER OF ROUND ROCK PA is a pediatrics in Georgetown, 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. PEDS CENTER OF ROUND ROCK PA NPI is 1508370701. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As River Ridge Pediatrics.

The provider's business location address is:

1526 LEANDER RD
GEORGETOWN, TX
ZIP 78628-801
Phone: (512) 863-7586
Fax: (512) 863-5222

The provider's authorized official is Vivekananda Dasari .
The authorized official title is Owner and has the following contact phone number (201) 289-7621.

The enumeration date for this NPI number is 11/27/2017 and was last updated on 11/27/2017.


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
1208000000XPediatricsYes

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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