AB PEDIATRIC HEALTH CLINIC TOO PLLC NPI 1073265104

NPI Information

AB PEDIATRIC HEALTH CLINIC TOO PLLC is an adolescent medicine pediatrics in El Paso, TX. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. AB PEDIATRIC HEALTH CLINIC TOO PLLC NPI is 1073265104. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12001 TIERRA ESTE RD
EL PASO, TX
ZIP 79938-573
Phone: (915) 295-0455
Fax: (915) 706-4028

The provider's authorized official is Andres D Boadella .
The authorized official title is Owner and has the following contact phone number (915) 577-0455.

The CLIA number assigned to this NPI record is 45D2234311 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/20/2022 and was last updated on 1/25/2022.

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:

Other Identifiers

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.