JUNIPER PEDIATRICS NPI 1578255709

NPI Information

NPI: 1578255709
Provider Name: JUNIPER PEDIATRICS
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 45D2294974

Address:
2631 GATTIS SCHOOL RD STE 160
ROUND ROCK, TX
ZIP 78664
Phone: (512) 750-4265
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JUNIPER PEDIATRICS is a primary care clinic center in Round Rock, TX. JUNIPER PEDIATRICS NPI is 1578255709. The provider is registered as an organization entity type.

The provider's business location address is:

2631 GATTIS SCHOOL RD STE 160
ROUND ROCK, TX
ZIP 78664-825
Phone: (512) 750-4265

The provider's authorized official is Hana Isam Zibdeh-lough .
The authorized official title is Physician/owner and has the following contact phone number (512) 750-4265.

The CLIA number assigned to this NPI record is 45D2294974 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/25/2023 and was last updated on 5/25/2023.

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			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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