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HERITAGE PEDIATRICS PLLC NPI 1245589233


NPI Information

NPI: 1245589233
Provider Name: HERITAGE PEDIATRICS, PLLC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 45D2068866

Address:
7959 BROADWAY ST
SUITE 604
SAN ANTONIO, TX
ZIP 78209
Phone: (210) 824-7938
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HERITAGE PEDIATRICS, PLLC is a pediatrics in San Antonio, 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. HERITAGE PEDIATRICS, PLLC NPI is 1245589233. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7959 BROADWAY ST
SUITE 604
SAN ANTONIO, TX
ZIP 78209-667
Phone: (210) 824-7938
Fax: (210) 805-9523

The provider's authorized official is John Thomas Fitch .
The authorized official title is President and has the following contact phone number (210) 826-8419.

The CLIA number assigned to this NPI record is 45D2068866 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/5/2012 and was last updated on 8/12/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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: 11/14/2023

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